Provider Demographics
NPI:1962058776
Name:JARAMILLO, SHAWN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:
Last Name:JARAMILLO
Suffix:
Gender:M
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 1:13503 W CAMINO DEL SOL
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4439
Mailing Address - Country:US
Mailing Address - Phone:623-584-0501
Mailing Address - Fax:
Practice Address - Street 1:13503 W CAMINO DEL SOL
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4439
Practice Address - Country:US
Practice Address - Phone:623-584-0501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS024176183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist