Prudence, Sheylander M

Prudence, Sheylander M is an sole proprietor health care provider with primary practice located at 8330 Long Beach Blvd Ste 109, South Gate CA 90280-2073. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Prudence, Sheylander M can be contacted via phone (310) 386-6403.

Contact Information

Primary practice address
8330 Long Beach Blvd Ste 109 South Gate CA 90280-2073
Fax: (310) 541-4025
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH 50289 California

Profile Details

NPI number 1174722706
LBN Legal business name Prudence, Sheylander M
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2007
Last updated Jul 13th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174722706 NPPES
California Other RPH 50289 PHARMACIST

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