Doctor Name: | JUDY JEAN PERMEJO |
NPI Number: | 1023415585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 35052 |
Business Practice Address: | 505 W 1st St Tustin, CA - 927803004 |
Business Phone Number: | 7146174593 |
Business Fax Number: | |
Mailing Address: | 6033 E Camino Manzano, ANAHEIM |
State: | CA |
Postal Code: | 928073216 |
Phone Number: | 7143226013 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2014 |
NPI Last Update Date: | 11/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 35052 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |