MEDICARE: DR. MARILYN RUTH STEBBINS 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
1	183500000X	Pharmacist	42044	CA
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	42044	CA

General Provider Information

NPI Number	:	1417956988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARILYN RUTH STEBBINS PHARM.D.

Provider Business Mailing Address
First Line	:	2608 CHATEAU LN
Second Line	:
City	:	DAVIS
State	:	CA
Zip	:	95616-6414
Country	:	US
Telephone Number	:	530-753-8780
Fax Number	:	530-753-1390

Provider Business Practice Location Address
First Line	:	533 PARNASSUS AVE # U503
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2208
Country	:	US
Telephone Number	:	415-476-3955
Fax Number	:	415-476-6632

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/19/2016

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