Provider Demographics
NPI:1215324843
Name:BARRINA, SUSIE C (PHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:SUSIE
Middle Name:C
Last Name:BARRINA
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32311 CYGNUS CT
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-4049
Mailing Address - Country:US
Mailing Address - Phone:510-931-9556
Mailing Address - Fax:
Practice Address - Street 1:32311 CYGNUS CT
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-4049
Practice Address - Country:US
Practice Address - Phone:510-931-9556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59588183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist