Provider Demographics
NPI:1962985812
Name:CORTEZ, NORA ANNETTE (INTERN PHARMACIST)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:ANNETTE
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:INTERN PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 5TH DR
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-4237
Mailing Address - Country:US
Mailing Address - Phone:661-586-1978
Mailing Address - Fax:
Practice Address - Street 1:2110 TRUXTUN AVE STE 400
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3703
Practice Address - Country:US
Practice Address - Phone:661-716-2682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-06
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA850831835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory CareGroup - Single Specialty