Healthcare Provider Details

I. General information

NPI: 1962570937
Provider Name (Legal Business Name): ADRIANA VERDURA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 S MAIN ST INPATIENT PHARMACY
WALNUT CREEK CA
94596-5318
US

IV. Provider business mailing address

80 CEDAR POINTE LOOP #1408
SAN RAMON CA
94583-4197
US

V. Phone/Fax

Practice location:
  • Phone: 925-295-4655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number56853
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: