Provider Demographics
NPI:1649564634
Name:SHMUNES, KIMBERLY LAUREN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:LAUREN
Last Name:SHMUNES
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 STATE ROAD 7
Mailing Address - Street 2:T-2065
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33449-5404
Mailing Address - Country:US
Mailing Address - Phone:561-273-8260
Mailing Address - Fax:561-273-8260
Practice Address - Street 1:5900 STATE ROAD 7
Practice Address - Street 2:T-2065
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33449-5404
Practice Address - Country:US
Practice Address - Phone:561-273-8260
Practice Address - Fax:561-273-8260
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist