Provider Demographics
NPI:1710215181
Name:MONONO, JOHN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:MONONO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 PARKVILLAGE AVE
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-6807
Mailing Address - Country:US
Mailing Address - Phone:972-784-4343
Mailing Address - Fax:
Practice Address - Street 1:2060 S BUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-1823
Practice Address - Country:US
Practice Address - Phone:214-398-8754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41323183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist