Doctor Name: | MRS. CAROLYN DE JESUS FLAGSTAD |
NPI Number: | 1700090743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARMACY TECHNICIAN |
License Number: | 14139 |
Business Practice Address: | 3851 Rosecrans St San Diego, CA - 921103115 |
Business Phone Number: | 6195424022 |
Business Fax Number: | |
Mailing Address: | 1172 Santa Madera Ave, CHULA VISTA |
State: | CA |
Postal Code: | 919131708 |
Phone Number: | 6193017024 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 14139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |