Provider Demographics
NPI:1619223799
Name:RUBIO COSS Y LEON, LUCIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:LUCIA
Middle Name:
Last Name:RUBIO COSS Y LEON
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 1:40650 ROAD 127
Mailing Address - Street 2:
Mailing Address - City:CUTLER
Mailing Address - State:CA
Mailing Address - Zip Code:93615-2002
Mailing Address - Country:US
Mailing Address - Phone:559-859-9535
Mailing Address - Fax:
Practice Address - Street 1:7300 N FRESNO ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2941
Practice Address - Country:US
Practice Address - Phone:559-448-3472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist