Provider Demographics
NPI:1558887430
Name:MENDEZ-HARPER, LUGINA BIANCA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LUGINA
Middle Name:BIANCA
Last Name:MENDEZ-HARPER
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 1:10707 E DEAWALTER AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85212-8068
Mailing Address - Country:US
Mailing Address - Phone:505-206-1089
Mailing Address - Fax:
Practice Address - Street 1:10707 E DEAWALTER AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212-8068
Practice Address - Country:US
Practice Address - Phone:505-206-1089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS013935183500000X
ARPD11545183500000X
LAPST019669183500000X
MST12010183500000X
NERP13755183500000X
TN35665183500000X
KY15883183500000X
MD24825183500000X
IDP7493183500000X
WVRP8629183500000X
MI5302045380183500000X
ORRPH12913183500000X
OKR17509183500000X
NMRP5746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist