Individual provider · Type 1 NPI

Kenia Yulissa Medina Moreno

Pharmacist · Modesto, CA

NPI number 1003697756 Active

Practice location

1441 Florida Ave
Modesto, CA 95350-4404

Call (209) 576-3622 Map

Mailing address

2237 Mcallister Ln
Riverbank, CA 95367-2673

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X88481 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1003697756

Kenia Yulissa Medina Moreno's National Provider Identifier is 1003697756, issued on Oct 9, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Modesto, CA. The record was last updated on Oct 9, 2023.