Provider Demographics
NPI:1275143752
Name:LEGGE, SHERINE ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHERINE
Middle Name:ANN
Last Name:LEGGE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 WESTCHESTER CT
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-4955
Mailing Address - Country:US
Mailing Address - Phone:949-295-1180
Mailing Address - Fax:
Practice Address - Street 1:17 WESTCHESTER CT
Practice Address - Street 2:
Practice Address - City:TRABUCO CANYON
Practice Address - State:CA
Practice Address - Zip Code:92679-4955
Practice Address - Country:US
Practice Address - Phone:949-295-1180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-09
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA423871835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist