Provider Demographics
NPI:1710166707
Name:MUNOZ, JEANNETTE C (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JEANNETTE
Middle Name:C
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:JEANNETTE
Other - Middle Name:C
Other - Last Name:PINCHEIRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:MONTECILLO COURT 31-04
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-761-5582
Mailing Address - Fax:
Practice Address - Street 1:12 MUNOZ RIVERA ST
Practice Address - Street 2:LA FE PHARMACY
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-761-0210
Practice Address - Fax:787-761-5582
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1962183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist