Provider Demographics
NPI:1417956988
Name:STEBBINS, MARILYN RUTH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:RUTH
Last Name:STEBBINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2608 CHATEAU LN
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-6414
Mailing Address - Country:US
Mailing Address - Phone:530-753-8780
Mailing Address - Fax:530-753-1390
Practice Address - Street 1:533 PARNASSUS AVE # U503
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2208
Practice Address - Country:US
Practice Address - Phone:415-476-3955
Practice Address - Fax:415-476-6632
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42044183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist