Individual
DR. CHARISSE ROSE LACUESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3100 DUBLIN BLVD, DUBLIN, CA 94568-7213
(925) 556-4991
Mailing address
3100 DUBLIN BLVD, DUBLIN, CA 94568-7213
(925) 556-4991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
61983
CA
1835C0207X
Compounded Sterile Preparations Pharmacist
Primary
61983
CA
1835P2201X
Ambulatory Care Pharmacist
61983
CA
Other
Enumeration date
04/07/2009
Last updated
06/05/2024
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