Individual provider · Type 1 NPI
Annamma Sumi Mammen
Pharmacist · Tracy, CA
Practice location
3320 N Tracy Blvd
Tracy, CA 95376-1796
Mailing address
3320 North Tracy Blvd, California .US.95376
Tracy, CA 95376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 84470 (CA) |
Pharmacist: 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
3 other providers at this address
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About NPI 1407513229
Annamma Sumi Mammen's National Provider Identifier is 1407513229, issued on Nov 29, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tracy, CA. The record was last updated on Nov 29, 2021.