Organization
VONS #2701
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE TERESA MENDOZA PHARM D (PHARMACIST)
(559) 294-6730
Entity
Organization
Contact information
Practice address
3100 FOWLER AVE, CLOVIS, CA 93611-2100
(559) 294-6730
(559) 294-6735
Mailing address
3100 FOWLER AVE, CLOVIS, CA 93611-2100
(559) 294-6730
(559) 294-6735
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
41553
CA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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