Individual ProviderEmber Ann SkidmorePharmacistPharmacy Service ProvidersPractice Address101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809(707) 423-3000PECOS EnrollmentBased on the most recent information from CMS, provider Ember Ann Skidmore does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1043975469Provider TypeIndividualFull NameSkidmore, Ember AnnCredentialPHARM.D.GenderFemaleSole ProprietorYesEnumeration Date11/1/2021Last Updated6/22/2023Contact InformationPractice LocationPractice Address101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809Phone(707) 423-3000FaxUnlisted FaxMailing LocationMailing Address101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809Phone(707) 423-3000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense37625CaliforniaCode1835G0303XDescriptionPharmacistPharmacy Service ProvidersLicense37625CaliforniaProvider IdentifiersIDDescriptionIssuerID37625DescriptionOtherIssuerPHARMACIST LICENSECalifornia