Provider Demographics
NPI:1548464738
Name:JAWICH, AMER (RPH)
Entity type:Individual
Prefix:
First Name:AMER
Middle Name:
Last Name:JAWICH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21046
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-1046
Mailing Address - Country:US
Mailing Address - Phone:661-829-7861
Mailing Address - Fax:661-829-7862
Practice Address - Street 1:9902 BRIMHALL RD STE 100
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2801
Practice Address - Country:US
Practice Address - Phone:661-829-7861
Practice Address - Fax:661-829-7862
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA56999OtherSTATE PHARMACIST LICENSE