Provider Demographics
NPI:1992146344
Name:CALZADA, FELIPE (PHARM D)
Entity type:Individual
Prefix:
First Name:FELIPE
Middle Name:
Last Name:CALZADA
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 1:1165 PHELPS AVE
Mailing Address - Street 2:SUITE # 101
Mailing Address - City:COALINGA
Mailing Address - State:CA
Mailing Address - Zip Code:93210-9663
Mailing Address - Country:US
Mailing Address - Phone:559-935-8833
Mailing Address - Fax:559-935-8838
Practice Address - Street 1:1165 PHELPS AVE
Practice Address - Street 2:SUITE # 101
Practice Address - City:COALINGA
Practice Address - State:CA
Practice Address - Zip Code:93210-9663
Practice Address - Country:US
Practice Address - Phone:559-935-8833
Practice Address - Fax:559-935-8838
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67577183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist