Provider Demographics
NPI:1104672997
Name:NEW, PATRICIA (PHARMD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:NEW
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2127 TRAPANI CIR
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6436
Mailing Address - Country:US
Mailing Address - Phone:831-601-8608
Mailing Address - Fax:
Practice Address - Street 1:PO BOX HH
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93942-6032
Practice Address - Country:US
Practice Address - Phone:831-625-4515
Practice Address - Fax:831-625-4966
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39092183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist