Provider Demographics
NPI:1235664806
Name:CABRERA, ANNE (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:CABRERA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23642 VIA NAVARRA
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-3636
Mailing Address - Country:US
Mailing Address - Phone:949-287-1884
Mailing Address - Fax:
Practice Address - Street 1:23642 VIA NAVARRA
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-3636
Practice Address - Country:US
Practice Address - Phone:949-287-1884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40776183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist