Provider Demographics
NPI:1457787095
Name:CUEVAS, CLAIRE V (PHARMD)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:V
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:V
Other - Last Name:CUEVAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:541 ROSE LN
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-2915
Mailing Address - Country:US
Mailing Address - Phone:805-239-9465
Mailing Address - Fax:
Practice Address - Street 1:600 MORRO BAY BLVD
Practice Address - Street 2:
Practice Address - City:MORRO BAY
Practice Address - State:CA
Practice Address - Zip Code:93442-1935
Practice Address - Country:US
Practice Address - Phone:805-771-9988
Practice Address - Fax:805-771-9960
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-14
Last Update Date:2013-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38607183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist