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Mr. Stephen Ryan Emmerthal
Pharmacist in Vandenberg Afb, California
NPI 1396026597

Stephen Ryan Emmerthal is a Pharmacist based in Vandenberg Afb, CA. Stephen Ryan Emmerthal practices in Vandenberg Afb, CA. The NPI Number for Stephen Ryan Emmerthal is 1396026597 and holds a License No. PI113752 (California).

The current practice location address for Stephen Ryan Emmerthal is 338 S Dakota Ave Bldg 13850, Vandenberg Afb, CA and can be reached out via phone at 805-606-7440.

Location: 338 S Dakota Ave Bldg 13850, Vandenberg Afb, CA, 93437-6307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396026597
Provider Name
Stephen Ryan Emmerthal
Credential
Provider Entity Type
Individual
Gender
Male
Address
338 S Dakota Ave Bldg 13850, Vandenberg Afb, CA, 93437-6307
Phone Number
805-606-7440
Fax Number
Provider Enumeration Date
08/31/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
338 S Dakota Ave Bldg 13850
City
Vandenberg Afb
State
California
Zip
93437-6307
Phone Number
805-606-7440
Fax Number
person
Provider Business Mailing Address Details
Address
338 S Dakota Ave Bldg 13850
City
Vandenberg Afb
State
California
Zip
93437-6307
Phone Number
805-606-7440
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RP448731 (Pennsylvania)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PI113752 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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