Individual provider · Type 1 NPI

Marie Dolores San Roman, PharmD

Pharmacist · Banning, CA

NPI number 1861747172 Active

Practice location

600 N Highland Springs Ave
Banning, CA 92220-3046

Call (951) 769-4888 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X056900 (NY)
Pharmacist Primary 183500000X68436 (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…

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About NPI 1861747172

Marie Dolores San Roman, PharmD's National Provider Identifier is 1861747172, issued on Jul 24, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Banning, CA. The record was last updated on Oct 8, 2013.