Mena Boules

Pharmacist · Marina, CA

Individual Active NPI

NPI number 1790389435

Practice location

18923 Kilpatrick Ln
Marina, CA 93933-5250
Phone
(831) 747-5577

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NPI record

NPI
1790389435
Entity type
Individual (Type 1)
Enumeration date
November 23, 2020
Last updated
November 23, 2020
Certified
November 23, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 80395 CA

About Mena Boules

Mena Boules is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 18923 Kilpatrick Ln, Marina, CA 93933-5250. The NPI number 1790389435 was assigned on November 23, 2020 and the record was last updated on November 23, 2020.

Mena Boules lists a license in the registry: #80395 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mena Boules?

The NPI number is 1790389435.

What is the phone number of Mena Boules?

The phone number listed for the practice location is (831) 747-5577.

Where is Mena Boules located?

18923 Kilpatrick Ln, Marina, CA 93933-5250.

What is the taxonomy code for Mena Boules?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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