MEDICARE: MINA MAHER NONAY

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
1	183500000X	Pharmacist	78167	CA

General Provider Information

NPI Number	:	1750944393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINA MAHER NONAY

Provider Business Mailing Address
First Line	:	13601 ESPIRIT WAY
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92620-3216
Country	:	US
Telephone Number	:	817-317-6268
Fax Number	:

Provider Business Practice Location Address
First Line	:	21572 PLANO TRABUCO RD
Second Line	:
City	:	TRABUCO CANYON
State	:	CA
Zip	:	92679-3465
Country	:	US
Telephone Number	:	949-589-3792
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2019
Last Update Date	:	04/19/2019

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Directions to “ MINA MAHER NONAY ” Practice Location

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