Basic Information
| Provider Information | |||||||||
| NPI: | 1629268180 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VALENZUELA | ||||||||
| FirstName: | LINDSEY | ||||||||
| MiddleName: | HERNANDEZ | ||||||||
| NamePrefix: | |||||||||
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| Credential: | PHARM D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 68860 PEREZ RD STE J | ||||||||
| Address2: | CATHEDRAL CITY | ||||||||
| City: | CATHEDRAL CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922347248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603284499 | ||||||||
| FaxNumber: | 7603282230 | ||||||||
| Practice Location | |||||||||
| Address1: | 35325 DATE PALM DR. #209 | ||||||||
| Address2: | CATHEDRAL CITY | ||||||||
| City: | CATHEDRAL CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922347248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603284499 | ||||||||
| FaxNumber: | 7603282230 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2007 | ||||||||
| LastUpdateDate: | 07/30/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 58385 | CA | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.