Provider Demographics
NPI:1124300264
Name:TOLEDO, VEENA (PHARM D)
Entity type:Individual
Prefix:
First Name:VEENA
Middle Name:
Last Name:TOLEDO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:VEENA
Other - Middle Name:
Other - Last Name:PURI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40372 LINARIA CIR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2489
Mailing Address - Country:US
Mailing Address - Phone:510-438-0351
Mailing Address - Fax:
Practice Address - Street 1:3571 N 1ST ST STE 201
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-1803
Practice Address - Country:US
Practice Address - Phone:408-876-6191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52647183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist