Healthcare Provider Details

I. General information

NPI: 1487935235
Provider Name (Legal Business Name): TEMMY ANN LIMON DUQUE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2011
Last Update Date: 09/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1158 W MAIN ST
MERCED CA
95340-4523
US

IV. Provider business mailing address

1188 ROTHWELL LN
ROSEVILLE CA
95747-9025
US

V. Phone/Fax

Practice location:
  • Phone: 209-383-2404
  • Fax:
Mailing address:
  • Phone: 718-288-9568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number65604
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: