Mary Saniout Abdelnour
Individual provider Active NPI Pharmacist · Lemoore, CA
NPI 1891276010 · NPPES record last updated Aug 25, 2018
Key facts
- NPI
- 1891276010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 76009 (CA)
- Practice address
- 12 W Hanford Armona Rd
Lemoore, CA 93245-2320 - Phone
- (559) 925-6510
- NPI assigned
- Aug 25, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 76009 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 76009 | CA | Yes |
Addresses
Primary practice location
12 W Hanford Armona Rd
Lemoore, CA 93245-2320
Mailing address
12 W Hanford Armona Rd
Lemoore, CA 93245-2320
Phone (559) 925-6510
Other providers in Lemoore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2018. 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.