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NPI Code Detail

MEDICARE: SALLY (SIMI) TOMLIN

MEDICARE: SALLY (SIMI) TOMLIN
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
1183500000XPharmacist27715CA
2183500000XPharmacist05973NV

General Provider Information

NPI Number : 1669763272
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLY (SIMI) TOMLIN
Provider Business Mailing Address
First Line : 850 HANOVER AVE
Second Line :
City : SUNNYVALE
State : CA
Zip : 94087-1135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 777 E EL CAMINO REAL
Second Line :
City : SUNNYVALE
State : CA
Zip : 94087-2919
Country : US
Telephone Number : 408-738-0595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2011
Last Update Date : 04/29/2011

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Directions to “ SALLY (SIMI) TOMLIN ” Practice Location

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