Hilin Samow
Individual provider Active NPI Pharmacist · Escalon, CA
NPI 1215300421 · NPPES record last updated Nov 20, 2015
Key facts
- NPI
- 1215300421
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 73809 (CA)
- Practice address
- 1710 California St
Escalon, CA 95320-1804 - Phone
- (209) 552-9364
- NPI assigned
- Nov 10, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73809 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73809 | CA | Yes |
Addresses
Primary practice location
1710 California St
Escalon, CA 95320-1804
Mailing address
2304 Wise Oak LN
Ceres, CA 95307-7139
Other providers in Escalon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.