Theodore R Smernes

NPI 1003821638 - Pharmacy - 3336C0003X

NPI Details
NPI 1003821638
Enumeration Date 07/30/2006
Last Updated 05/03/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name THEODORE THEODORE
Position OWNER
Phone (209) 537-0718
Fax (209) 537-4252
Practice Location
2929 4TH ST
CERES CA, 95307-3222, US
Phone (209) 537-0718
Fax (209) 537-4252
Business Location
2929 4TH ST
CERES CA, 95307-3222, US
Phone (209) 537-0718
Fax (209) 537-4252
Toxanomy
Taxonomy Code 3336C0003X
License State California
License Number PHY30773
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According to our database, Theodore R Smernes NPI is 1003821638, taxonomy code is 3336C0003X and license number is PHY30773, license state is located at California. Theodore R Smernes physically located at 2929 4th St, Ceres CA, 95307-3222. NPI Number 1033115704 has the healthcare provider type.

1003821638 NPI number is provided on an as is basis without warranty of any kind. 1003821638 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore R Smernes are for informational purposes only.