Skidmore, Ember Ann

Skidmore, Ember Ann is an sole proprietor health care provider with primary practice located at 101 Bodin Cir Bldg 777 , Travis Afb CA 94535-1809. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Skidmore, Ember Ann can be contacted via phone (707) 423-3000.

Contact Information

Primary practice address
101 Bodin Cir Bldg 777 Travis Afb CA 94535-1809
Phone: (707) 423-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 37625 California
Pharmacy Service Providers / Geriatric 1835G0303X 37625 California

Profile Details

NPI number 1043975469
LBN Legal business name Skidmore, Ember Ann
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2021
Last updated Jun 22nd, 2023 - about last year

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 1043975469 NPPES
California Other 37625 PHARMACIST LICENSE

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