Provider Demographics
NPI:1568096899
Name:TOLEDO, ROXANNE (RPH)
Entity Type:Individual
Prefix:
First Name:ROXANNE
Middle Name:
Last Name:TOLEDO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ROXANNE
Other - Middle Name:B
Other - Last Name:GAYAGOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:330 MANGELS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-2410
Mailing Address - Country:US
Mailing Address - Phone:415-926-1516
Mailing Address - Fax:
Practice Address - Street 1:330 MANGELS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94127-2410
Practice Address - Country:US
Practice Address - Phone:415-926-1516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist