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Individual
EMBER ANN SKIDMORE
Active
Individual
EMBER ANN SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37625
CA
1835G0303X
Geriatric Pharmacist
37625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37625
PHARMACIST LICENSE
CA
Enumeration date
11/01/2021
Last updated
06/22/2023
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