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NPI Code Detail

MEDICARE: MARIA MENDOZA PHARM D

MEDICARE: MARIA MENDOZA PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist15831NE

General Provider Information

NPI Number : 1003579921
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA MENDOZA PHARM D
Provider Business Mailing Address
First Line : 5051 L ST
Second Line :
City : OMAHA
State : NE
Zip : 68117-1328
Country : US
Telephone Number : 402-541-0823
Fax Number : 402-541-0824
Provider Business Practice Location Address
First Line : 5051 L ST
Second Line :
City : OMAHA
State : NE
Zip : 68117-1328
Country : US
Telephone Number : 402-541-0823
Fax Number : 402-541-0824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2021
Last Update Date : 10/18/2021

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Directions to “ MARIA MENDOZA PHARM D” Practice Location

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