Provider Demographics
NPI:1497336168
Name:MUNOZ, ARIANA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:MUNOZ
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 1:101 REDLANDS MALL
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-4705
Mailing Address - Country:US
Mailing Address - Phone:909-792-9684
Mailing Address - Fax:
Practice Address - Street 1:101 REDLANDS MALL
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4705
Practice Address - Country:US
Practice Address - Phone:909-792-9684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2022-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY022284183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist