Provider Demographics
NPI:1902150790
Name:HERNANDEZ, CLAUDIA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:HERNANDEZ
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 1:1874 JOE BATTLE BLVD
Mailing Address - Street 2:T-2216
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-0962
Mailing Address - Country:US
Mailing Address - Phone:915-849-5010
Mailing Address - Fax:
Practice Address - Street 1:1874 JOE BATTLE BLVD
Practice Address - Street 2:T-2216
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-0962
Practice Address - Country:US
Practice Address - Phone:915-849-5010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist