Provider Demographics
NPI:1306143375
Name:DELL'ACQUA, PLACIDO A (PHARM D)
Entity type:Individual
Prefix:
First Name:PLACIDO
Middle Name:A
Last Name:DELL'ACQUA
Suffix:
Gender:M
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 1:4500 COFFEE RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-5025
Mailing Address - Country:US
Mailing Address - Phone:661-589-1484
Mailing Address - Fax:661-589-7621
Practice Address - Street 1:4500 COFFEE RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-5025
Practice Address - Country:US
Practice Address - Phone:661-589-1484
Practice Address - Fax:661-589-7621
Is Sole Proprietor?:No
Enumeration Date:2011-02-27
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist