Provider Demographics
NPI:1689083727
Name:ALBERT, MONICA ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:ANN
Last Name:ALBERT
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 1:25609 CORSICA WAY
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-6213
Mailing Address - Country:US
Mailing Address - Phone:714-609-1058
Mailing Address - Fax:
Practice Address - Street 1:25609 CORSICA WAY
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-6213
Practice Address - Country:US
Practice Address - Phone:714-609-1058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-02
Last Update Date:2014-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61942183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist