Most Relevant Information
Provider Data
| NPI Number: | 1003579921 |
| Provider Name: | MARIA MENDOZA PHARM D |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 15831 |
Most Important Dates
| Enumeration Date: | 10/18/2021 |
| Last Updated: | 10/18/2021 |
Provider Practice Location
5051 L ST
OMAHA
NE
681171328
Practice Location Phone/Fax
| Phone: | 4025410823 |
| Fax: | 4025410824 |
Provider Mailing Location
5051 L ST
OMAHA
NE
681171328
Provider Mailing Phone/Fax
| Phone: | 4025410823 |
| Fax: | 4025410824 |