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NPI Code Detail

MEDICARE: DR. YVONNE SHEREE MABUGAT PHARM D

MEDICARE: DR. YVONNE SHEREE MABUGAT PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist65280CA

General Provider Information

NPI Number : 1356619340
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YVONNE SHEREE MABUGAT PHARM D
Provider Business Mailing Address
First Line : 2356 SAN MARCO CT
Second Line :
City : MANTECA
State : CA
Zip : 95337-8231
Country : US
Telephone Number : 408-768-5425
Fax Number :
Provider Business Practice Location Address
First Line : 6505 S MANTHEY RD
Second Line :
City : FRENCH CAMP
State : CA
Zip : 95231-9518
Country : US
Telephone Number : 209-851-7302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2011
Last Update Date : 06/07/2024

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