Provider Demographics
NPI:1063092542
Name:ORELLANA MENENDEZ, FRANCISCO JAVIER (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:ORELLANA MENENDEZ
Suffix:
Gender:M
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:FRANCISCO
Other - Middle Name:JAVIER
Other - Last Name:ORELLANA MENENDEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACY TECHNICIAN
Mailing Address - Street 1:7716 S FIGUEROA ST APT 5
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90003-1751
Mailing Address - Country:US
Mailing Address - Phone:323-359-7026
Mailing Address - Fax:
Practice Address - Street 1:7716 S FIGUEROA ST APT 5
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90003-1751
Practice Address - Country:US
Practice Address - Phone:323-359-7026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA137066183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA137066OtherBOARD OF PHARMACY