Provider Demographics
NPI:1598379158
Name:VILLAROMAN, FELICIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:
Last Name:VILLAROMAN
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 1:17254 RUSSET ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-2140
Mailing Address - Country:US
Mailing Address - Phone:619-994-1641
Mailing Address - Fax:
Practice Address - Street 1:230 PROSPECT PL STE 110
Practice Address - Street 2:
Practice Address - City:CORONADO
Practice Address - State:CA
Practice Address - Zip Code:92118-1980
Practice Address - Country:US
Practice Address - Phone:619-522-3856
Practice Address - Fax:619-437-0652
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist