Provider Demographics
NPI:1497212872
Name:NUNNA, SILPA N/A (PHARMD)
Entity Type:Individual
Prefix:
First Name:SILPA
Middle Name:N/A
Last Name:NUNNA
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 1:6448 ARMITOS DR
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-8827
Mailing Address - Country:US
Mailing Address - Phone:805-302-7189
Mailing Address - Fax:
Practice Address - Street 1:100 W CARRILLO ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3215
Practice Address - Country:US
Practice Address - Phone:805-302-7189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76453183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist