Provider Demographics
NPI:1285072496
Name:MUNOZ, ANGELICA MARIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANGELICA
Middle Name:MARIA
Last Name:MUNOZ
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 1:9725 LAUREL CANYON BLVD
Mailing Address - Street 2:T-0183
Mailing Address - City:ARLETA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-4100
Mailing Address - Country:US
Mailing Address - Phone:818-896-8214
Mailing Address - Fax:
Practice Address - Street 1:9725 LAUREL CANYON BLVD
Practice Address - Street 2:T-0183
Practice Address - City:ARLETA
Practice Address - State:CA
Practice Address - Zip Code:91331-4100
Practice Address - Country:US
Practice Address - Phone:818-896-8214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist