Provider Demographics
NPI:1245780428
Name:MENDOZA, RICHARD ALANO (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALANO
Last Name:MENDOZA
Suffix:
Gender:M
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:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-0053
Mailing Address - Country:US
Mailing Address - Phone:209-740-2458
Mailing Address - Fax:
Practice Address - Street 1:3690 WOODBINE WAY
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3448
Practice Address - Country:US
Practice Address - Phone:209-740-2458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62526183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist