Provider Demographics
NPI:1124332382
Name:MURILLO, CLAUDIA THERESA (RPH)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:THERESA
Last Name:MURILLO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12511 MAGNOLIA BLVD
Mailing Address - Street 2:
Mailing Address - City:N HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2305
Mailing Address - Country:US
Mailing Address - Phone:818-506-8795
Mailing Address - Fax:818-506-8815
Practice Address - Street 1:12511 MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:N HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91607-2305
Practice Address - Country:US
Practice Address - Phone:818-506-8795
Practice Address - Fax:818-506-8815
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH41761183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist