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NPI Code Detail

MEDICARE: ELEONORA SHERMAN

MEDICARE: ELEONORA SHERMAN
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
1183500000XPharmacist52000CA

General Provider Information

NPI Number : 1912321753
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELEONORA SHERMAN
Provider Business Mailing Address
First Line : 17037 EMPANADA PL
Second Line :
City : ENCINO
State : CA
Zip : 91436-4027
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14440 BURBANK BLVD
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91401-4823
Country : US
Telephone Number : 818-989-5422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2014
Last Update Date : 02/14/2014

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Directions to “ ELEONORA SHERMAN ” Practice Location

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