Provider Demographics
NPI:1679202949
Name:MERWIN, SHAYNA (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:SHAYNA
Middle Name:
Last Name:MERWIN
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:SHAYNA
Other - Middle Name:
Other - Last Name:MCDANNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2300 HARBOR BLVD
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-6250
Mailing Address - Country:US
Mailing Address - Phone:949-645-7331
Mailing Address - Fax:949-645-7214
Practice Address - Street 1:2300 HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-6250
Practice Address - Country:US
Practice Address - Phone:949-645-7331
Practice Address - Fax:949-645-7214
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician