Provider Demographics
NPI:1588104269
Name:MARTIN, ERLINDA PATRIMONIO (PHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:ERLINDA
Middle Name:PATRIMONIO
Last Name:MARTIN
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 1:2415 MARSHALLFIELD LN
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-4405
Mailing Address - Country:US
Mailing Address - Phone:310-529-1810
Mailing Address - Fax:
Practice Address - Street 1:7575 PALM AVE #101
Practice Address - Street 2:RX RELIEF
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711
Practice Address - Country:US
Practice Address - Phone:800-797-3543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist