Provider Demographics
NPI:1851684385
Name:MONZON, SHALON M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHALON
Middle Name:M
Last Name:MONZON
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:PO BOX 2431
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-2200
Mailing Address - Country:US
Mailing Address - Phone:787-602-2372
Mailing Address - Fax:787-256-2626
Practice Address - Street 1:200 CALLE MARGINAL STE 100
Practice Address - Street 2:PLAZA NORESTE
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-4288
Practice Address - Country:US
Practice Address - Phone:787-602-2372
Practice Address - Fax:787-256-2626
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5355183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist