Marie-Claire Caleja Agcaoili
Individual provider Active NPI Pharmacist · Vallejo, CA
NPI 1093097685 · NPPES record last updated Mar 23, 2017
Key facts
- NPI
- 1093097685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- CA58071 (CA)
- Practice address
- 1050 Redwood St
Vallejo, CA 94590-2955 - Phone
- (707) 557-6948
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA58071 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | CA58071 | CA | Yes |
Addresses
Primary practice location
1050 Redwood St
Vallejo, CA 94590-2955
Mailing address
901 Nevin Ave
Richmond, CA 94801-3143
Phone (510) 307-1515
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.