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NPI Code Detail

MEDICARE: DR. SHARI GJERDRUM PHARMD

MEDICARE: DR. SHARI GJERDRUM PHARMD
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
1183500000XPharmacist51928CA

General Provider Information

NPI Number : 1366851404
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARI GJERDRUM PHARMD
Provider Business Mailing Address
First Line : 2220 S BRADLEY RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-1348
Country : US
Telephone Number : 805-349-1192
Fax Number : 805-349-8930
Provider Business Practice Location Address
First Line : 2220 S BRADLEY RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-1348
Country : US
Telephone Number : 805-349-1192
Fax Number : 805-349-8930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2014
Last Update Date : 08/02/2014

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Directions to “ DR. SHARI GJERDRUM PHARMD” Practice Location

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