Provider Demographics
NPI:1871316232
Name:BATUGO, ENA SHARMAINE BELEN (PHARMD)
Entity type:Individual
Prefix:
First Name:ENA SHARMAINE
Middle Name:BELEN
Last Name:BATUGO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ENA SHARMAINE
Other - Middle Name:AQUINO
Other - Last Name:BELEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10141 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2719
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10141 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2719
Practice Address - Country:US
Practice Address - Phone:818-469-0765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90304183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist