Individual provider · Type 1 NPI

Marie Antonette Taeza-Lu

Pharmacist · El Centro, CA

NPI number 1053726588 Active

Practice location

1501 W Main St
El Centro, CA 92243-2211

Call (760) 352-5731 Map

Mailing address

649 Cactus St
Imperial, CA 92251-2515

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X66368 (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 1053726588

Marie Antonette Taeza-Lu's National Provider Identifier is 1053726588, issued on Jun 23, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in El Centro, CA. The record was last updated on Jun 23, 2014.