Provider Demographics
NPI:1306175971
Name:KUMENDA, YUCABETH M (PHARM D)
Entity type:Individual
Prefix:
First Name:YUCABETH
Middle Name:M
Last Name:KUMENDA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 RICHEY ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77502-3334
Mailing Address - Country:US
Mailing Address - Phone:713-475-8488
Mailing Address - Fax:713-475-8548
Practice Address - Street 1:2130 RICHEY ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-3334
Practice Address - Country:US
Practice Address - Phone:713-475-8488
Practice Address - Fax:713-475-8548
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40962183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist