Provider Demographics
NPI:1497055495
Name:TOMESCU, MARIA G (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:G
Last Name:TOMESCU
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2495 TRUXTUN RD
Mailing Address - Street 2:SITE 100
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-6159
Mailing Address - Country:US
Mailing Address - Phone:619-758-9004
Mailing Address - Fax:619-758-9403
Practice Address - Street 1:2495 TRUXTUN RD
Practice Address - Street 2:SITE 100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-6159
Practice Address - Country:US
Practice Address - Phone:619-758-9004
Practice Address - Fax:619-758-9403
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43185183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist