Provider Demographics
NPI:1912295817
Name:MOLINA, VERONICA JUDITH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:JUDITH
Last Name:MOLINA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:JUDITH
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2121 W TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4434
Mailing Address - Country:US
Mailing Address - Phone:956-664-1755
Mailing Address - Fax:956-664-0627
Practice Address - Street 1:2121 W TRENTON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-4434
Practice Address - Country:US
Practice Address - Phone:956-664-1755
Practice Address - Fax:956-664-0627
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-13
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist