Provider Demographics
NPI:1942343561
Name:SHOR, JUDI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JUDI
Middle Name:
Last Name:SHOR
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 1:4630 VIA VISTOSA
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-2334
Mailing Address - Country:US
Mailing Address - Phone:805-964-7823
Mailing Address - Fax:805-964-7824
Practice Address - Street 1:4630 VIA VISTOSA
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-2334
Practice Address - Country:US
Practice Address - Phone:805-964-7823
Practice Address - Fax:805-964-7824
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI152321835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric