Provider Demographics
NPI:1588781751
Name:PINAL, DENISE (PHARMD)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:PINAL
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 1:2102 W LOOP 289 APT 148
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-7751
Mailing Address - Country:US
Mailing Address - Phone:915-241-5924
Mailing Address - Fax:
Practice Address - Street 1:3601 4TH ST STOP 8162
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-8162
Practice Address - Country:US
Practice Address - Phone:806-743-4200
Practice Address - Fax:806-743-4209
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist