Search › California › 1835P1300X
Andrea Formella, PHARMD
NPI 1730664293 · on the registry since 2018 · sole proprietor
Practice
- Address
- 28652 Malabar Rd
Trabuco Canyon, CA 92679 - Phone
- (512) 796-7547
Registry record
- Primary taxonomy
- 1835P1300X
1835P1300X
- Also registered as
- 183500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California