Provider Demographics
NPI:1487150512
Name:SAMMOR, MARGARET BAKER LUIS (RPH)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:BAKER LUIS
Last Name:SAMMOR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14124 VIBURNUM DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90604-2540
Mailing Address - Country:US
Mailing Address - Phone:714-743-1839
Mailing Address - Fax:
Practice Address - Street 1:14124 VIBURNUM DR
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90604-2540
Practice Address - Country:US
Practice Address - Phone:714-743-1839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-05
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76490183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA76490OtherCALIFORNIA STATE BOARD OF PHARMACY