Provider Demographics
NPI:1609416924
Name:CALDERONE, ALICIA JEAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:JEAN
Last Name:CALDERONE
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 1:2914 AFTONSHIRE WAY APT 18202
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5847
Mailing Address - Country:US
Mailing Address - Phone:512-221-5121
Mailing Address - Fax:
Practice Address - Street 1:2914 AFTONSHIRE WAY APT 18202
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5847
Practice Address - Country:US
Practice Address - Phone:512-221-5121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40571183500000X
TX54409183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist