DR. Marie Dolores San Roman, PHARMD

NPI #1861747172 in Banning, California

Provider Information

NPI Number: 1861747172
Entity Type: Individual
Name: DR. Marie Dolores San Roman, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jul 24, 2012
Last Updated: Oct 8, 2013

Practice Location

Address: 600 N HIGHLAND SPRINGS AVE
City: Banning
State: California
ZIP Code: 92220-3046
Phone: (951) 769-4888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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