Provider Demographics
NPI:1942488515
Name:DE LOS REYES, LINAFLORE SAGADRACA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINAFLORE
Middle Name:SAGADRACA
Last Name:DE LOS REYES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LINAFLORE
Other - Middle Name:LABUGUEN
Other - Last Name:SAGADRACA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:10990 SAN DIEGO MISSION RD
Mailing Address - Street 2:CLINICAL PHARMACY SERVICES
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-2417
Mailing Address - Country:US
Mailing Address - Phone:619-433-7604
Mailing Address - Fax:619-589-3266
Practice Address - Street 1:10990 SAN DIEGO MISSION RD
Practice Address - Street 2:CLINICAL PHARMACY SERVICES
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-2417
Practice Address - Country:US
Practice Address - Phone:619-433-7604
Practice Address - Fax:619-589-3266
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist