Individual
NATASHA HERMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3500 COFFEE RD, MODESTO, CA 95355-1305
(209) 341-0814
Mailing address
3500 COFFEE ROAD, MODESTO, CA 95355
(209) 341-0814
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
55348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52671
CALIFORNIA BOARD OF PHARMACY
CA
Enumeration date
01/10/2017
Last updated
01/10/2017
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