Healthcare Provider Details

I. General information

NPI: 1184877458
Provider Name (Legal Business Name): DONALD WHITNEY GUBBINS JR. PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2008
Last Update Date: 10/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 GOLDEN CENTRE LN
RANCHO CORDOVA CA
95670-4477
US

IV. Provider business mailing address

5080 BARNETT LOOP RD
SHINGLE SPRINGS CA
95682-5103
US

V. Phone/Fax

Practice location:
  • Phone: 916-858-1948
  • Fax:
Mailing address:
  • Phone: 916-548-6237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number37108
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: