Provider Demographics
NPI:1396153219
Name:DELAROSA, ANTONIA (RPH)
Entity type:Individual
Prefix:MRS
First Name:ANTONIA
Middle Name:
Last Name:DELAROSA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ANTONIA
Other - Middle Name:
Other - Last Name:DELAROSA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:1007 LYNX BND
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4041
Mailing Address - Country:US
Mailing Address - Phone:210-307-6480
Mailing Address - Fax:
Practice Address - Street 1:1007 LYNX BND
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4041
Practice Address - Country:US
Practice Address - Phone:210-307-6480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-23
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX319511835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist