Provider Demographics
NPI:1508141490
Name:SALAGUINTO, EDWARD A (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:A
Last Name:SALAGUINTO
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4195 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95838-2623
Mailing Address - Country:US
Mailing Address - Phone:916-418-0322
Mailing Address - Fax:916-418-0822
Practice Address - Street 1:4195 NORWOOD AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95838-2623
Practice Address - Country:US
Practice Address - Phone:916-418-0322
Practice Address - Fax:916-418-0822
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53212183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist