Provider Demographics
NPI:1386803344
Name:KINER, ROSALINA LUCERO (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:MRS
First Name:ROSALINA
Middle Name:LUCERO
Last Name:KINER
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 27TH ST
Mailing Address - Street 2:APT #30
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-3130
Mailing Address - Country:US
Mailing Address - Phone:619-696-9280
Mailing Address - Fax:
Practice Address - Street 1:660 27TH ST
Practice Address - Street 2:#30
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:90102
Practice Address - Country:US
Practice Address - Phone:210-651-0027
Practice Address - Fax:918-696-5510
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician