Provider Demographics
NPI:1285329938
Name:MENDOZA, LUCINDA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LUCINDA
Middle Name:
Last Name:MENDOZA
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 1:26318 ROCKWALL PKWY
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-2786
Mailing Address - Country:US
Mailing Address - Phone:210-241-1309
Mailing Address - Fax:
Practice Address - Street 1:135 CREEKSIDE WAY
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6248
Practice Address - Country:US
Practice Address - Phone:830-608-3281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist