Provider Demographics
NPI:1689124943
Name:BARRIGA TORRES, ELIANA LISETTE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ELIANA
Middle Name:LISETTE
Last Name:BARRIGA TORRES
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 1:1334 GOLDEN PLOVER ST
Mailing Address - Street 2:
Mailing Address - City:PLUMAS LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:95961-8730
Mailing Address - Country:US
Mailing Address - Phone:530-713-8192
Mailing Address - Fax:
Practice Address - Street 1:4300 ELVERTA RD
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-6700
Practice Address - Country:US
Practice Address - Phone:530-713-8192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75279183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist