Provider Demographics
NPI:1649559311
Name:SALDANA, LUCILA CONTRERAS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LUCILA
Middle Name:CONTRERAS
Last Name:SALDANA
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 1:1115 VINE STREET
Mailing Address - Street 2:
Mailing Address - City:HEALDSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:95448
Mailing Address - Country:US
Mailing Address - Phone:707-431-0128
Mailing Address - Fax:707-431-1403
Practice Address - Street 1:1115 VINE ST
Practice Address - Street 2:
Practice Address - City:HEALDSBURG
Practice Address - State:CA
Practice Address - Zip Code:95448-4831
Practice Address - Country:US
Practice Address - Phone:707-431-0128
Practice Address - Fax:707-431-1403
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHA438500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist