Provider Demographics
NPI:1558951509
Name:MAKINA, TENDAI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TENDAI
Middle Name:
Last Name:MAKINA
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 1:108 MUSTANG CT
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-4638
Mailing Address - Country:US
Mailing Address - Phone:469-878-9834
Mailing Address - Fax:
Practice Address - Street 1:2129 E BELT LINE RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-3931
Practice Address - Country:US
Practice Address - Phone:972-235-8417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-23
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55827183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist