Provider Demographics
NPI:1437391786
Name:MOLANO, JO ANN MENDEZ (PHARMD)
Entity Type:Individual
Prefix:
First Name:JO ANN
Middle Name:MENDEZ
Last Name:MOLANO
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 1:3829 INTERSTATE HIGHWAY 69 ACCESS RD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-4525
Mailing Address - Country:US
Mailing Address - Phone:361-779-3806
Mailing Address - Fax:
Practice Address - Street 1:3829 INTERSTATE HIGHWAY 69 ACCESS RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-4525
Practice Address - Country:US
Practice Address - Phone:361-779-3806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58604101YP2500X
TX61342183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional