Provider Demographics
NPI:1598389744
Name:CASTRO, BELINDA (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:CASTRO
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:772 WOODLAWN AVE APT A
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-8551
Mailing Address - Country:US
Mailing Address - Phone:619-962-1641
Mailing Address - Fax:
Practice Address - Street 1:10130 SORRENTO VALLEY RD STE B
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1643
Practice Address - Country:US
Practice Address - Phone:858-622-2874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103674183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician