Provider Demographics
NPI:1609008036
Name:PINEDA, MONICA LISA (PHARMD)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:LISA
Last Name:PINEDA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:LISA
Other - Last Name:POSIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7300 NORTH FRESNO STREET
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720
Mailing Address - Country:US
Mailing Address - Phone:951-966-3840
Mailing Address - Fax:
Practice Address - Street 1:7300 NORTH FRESNO STREET
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720
Practice Address - Country:US
Practice Address - Phone:559-448-4067
Practice Address - Fax:408-972-6155
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62720183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist