Provider Demographics
NPI:1407141518
Name:CARDENAS, RHONDA L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:L
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 W PACHECO BLVD
Mailing Address - Street 2:T2359
Mailing Address - City:LOS BANOS
Mailing Address - State:CA
Mailing Address - Zip Code:93635-7806
Mailing Address - Country:US
Mailing Address - Phone:209-827-2081
Mailing Address - Fax:209-827-2091
Practice Address - Street 1:1405 W PACHECO BLVD
Practice Address - Street 2:T2359
Practice Address - City:LOS BANOS
Practice Address - State:CA
Practice Address - Zip Code:93635-7806
Practice Address - Country:US
Practice Address - Phone:209-827-2081
Practice Address - Fax:209-827-2091
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57489183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist