Sheylander M Prudence in South Gate - Pharmacist
Sheylander M Prudence - NPI 1174722706
Sheylander M Prudence is a Pharmacist in South Gate, California. Sheylander M Prudence practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Sheylander M Prudence is 1174722706. The last update date is 2007-07-13.
Sheylander M Prudence's current location address is 8330 Long Beach Blvd, South Gate, California. You can contact this provider via phone number 3103866403 and fax number 3105414025. The mailing address for Sheylander M Prudence is 8330 Long Beach Blvd, South Gate, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sheylander M Prudence |
|---|---|
| Address | 8330 Long Beach Blvd, South Gate, California |
| Phone Number | 3103866403 |
| Fax Number | 3105414025 |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1174722706 |
|---|---|
| Provider Enumeration Date | 2007-07-13 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 8330 Long Beach Blvd |
|---|---|
| City | South Gate |
| State | California (CA) |
| Post Code | 902802073 |
| Phone Number | 3103866403 |
| Fax Number | 3105414025 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | RPH 50289 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RPH 50289 | CA | PHARMACIST |
Post Comment/ Review Below
What is the unique identification code assigned to Sheylander M Prudence by the Centers for Medicare & Medicaid Services?
The Sheylander M Prudence has been issued the NPI (National Provider Identifier) 1174722706. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Sheylander M Prudence is geographically located?
The Sheylander M Prudence is physically situated at the following location: 8330 Long Beach Blvd, South Gate, CA, 902802073.
What is Sheylander M Prudence's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sheylander M Prudence's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date was the 1174722706 assigned to Sheylander M Prudence?
The Sheylander M Prudence was issued its 1174722706 on 2007-07-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Sheylander M Prudence's information last updated?
The Sheylander M Prudence's information was last updated on 2007-07-13.