Healthcare Provider Details

I. General information

NPI: 1871316232
Provider Name (Legal Business Name): ENA SHARMAINE BELEN BATUGO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ENA SHARMAINE AQUINO BELEN

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 24TH ST STE B120
BAKERSFIELD CA
93301-2382
US

IV. Provider business mailing address

10141 COLUMBUS AVE
MISSION HILLS CA
91345-2719
US

V. Phone/Fax

Practice location:
  • Phone: 661-679-8998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number90304
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: