Provider Demographics
NPI:1639385933
Name:PIZARRO, CLARISSA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CLARISSA
Middle Name:
Last Name:PIZARRO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 CALLE GARCIA LORCA
Mailing Address - Street 2:URB JARDINES DE LA FUENTE
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-3632
Mailing Address - Country:US
Mailing Address - Phone:787-251-6645
Mailing Address - Fax:787-275-0430
Practice Address - Street 1:CARR. 869 BO. PALMAS
Practice Address - Street 2:
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962
Practice Address - Country:US
Practice Address - Phone:787-788-1970
Practice Address - Fax:787-275-0430
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4588183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist