Provider Demographics
NPI:1144506759
Name:ARGUETA-TRUJILLO, JUAN A
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:A
Last Name:ARGUETA-TRUJILLO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JUAN
Other - Middle Name:A
Other - Last Name:ARGUETA-TRUJILLO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1063 GAVILAN DR
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93927-3902
Mailing Address - Country:US
Mailing Address - Phone:831-674-2919
Mailing Address - Fax:
Practice Address - Street 1:575 N SANBORN RD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93905-2246
Practice Address - Country:US
Practice Address - Phone:831-751-9319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58806183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist