Provider Demographics
NPI:1902180185
Name:MARTINEZ, ANABEL DELACRUZ (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANABEL
Middle Name:DELACRUZ
Last Name:MARTINEZ
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 1:730 BARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEWMAN
Mailing Address - State:CA
Mailing Address - Zip Code:95360-9540
Mailing Address - Country:US
Mailing Address - Phone:209-752-0764
Mailing Address - Fax:209-826-8790
Practice Address - Street 1:1360 E PACHECO BLVD
Practice Address - Street 2:
Practice Address - City:LOS BANOS
Practice Address - State:CA
Practice Address - Zip Code:93635-4938
Practice Address - Country:US
Practice Address - Phone:209-826-2600
Practice Address - Fax:209-826-3703
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 59149183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist