Provider Demographics
NPI:1316747157
Name:MAGCAUAS, SHIELA MAE ROMERO (RPH)
Entity type:Individual
Prefix:
First Name:SHIELA MAE
Middle Name:ROMERO
Last Name:MAGCAUAS
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 F ST APT 315
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-3149
Mailing Address - Country:US
Mailing Address - Phone:925-316-9964
Mailing Address - Fax:925-316-9964
Practice Address - Street 1:3655 ALHAMBRA AVE
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-3912
Practice Address - Country:US
Practice Address - Phone:925-372-0337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-18
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90833183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist