Provider Demographics
NPI:1740480086
Name:TONIHKA, JENNIE ELIZABETH (RPH)
Entity type:Individual
Prefix:MRS
First Name:JENNIE
Middle Name:ELIZABETH
Last Name:TONIHKA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 VISTA HILL WEST LOOP
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-8902
Mailing Address - Country:US
Mailing Address - Phone:505-873-6446
Mailing Address - Fax:505-873-6407
Practice Address - Street 1:200 RIO BRAVO S.E.
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87105
Practice Address - Country:US
Practice Address - Phone:505-873-6446
Practice Address - Fax:505-873-6407
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00006599183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist