Provider Demographics
NPI:1033670674
Name:BRITTON, MINA K
Entity Type:Individual
Prefix:MISS
First Name:MINA
Middle Name:K
Last Name:BRITTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:MINA
Other - Middle Name:
Other - Last Name:BRITTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMACY TECH
Mailing Address - Street 1:7700 FOLSOM BLVD
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-2608
Mailing Address - Country:US
Mailing Address - Phone:916-386-3054
Mailing Address - Fax:916-386-3069
Practice Address - Street 1:7700 FOLSOM BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-2608
Practice Address - Country:US
Practice Address - Phone:916-386-3054
Practice Address - Fax:916-386-3069
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23501183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician