Provider Demographics
NPI:1003126632
Name:ALCARIA, RIZZA VANESSA (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:RIZZA
Middle Name:VANESSA
Last Name:ALCARIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 SHATTUCK AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94709-1611
Mailing Address - Country:US
Mailing Address - Phone:510-423-9430
Mailing Address - Fax:510-423-9436
Practice Address - Street 1:1607 SHATTUCK AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94709-1611
Practice Address - Country:US
Practice Address - Phone:510-423-9430
Practice Address - Fax:510-423-9436
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-17
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA183500000XMedicaid