Provider Demographics
NPI:1659047496
Name:ALBA, RICA ALYSSA MAGISTRADO (PHARMD)
Entity Type:Individual
Prefix:
First Name:RICA ALYSSA
Middle Name:MAGISTRADO
Last Name:ALBA
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 1:2812 ROCKY SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-6776
Mailing Address - Country:US
Mailing Address - Phone:832-768-0927
Mailing Address - Fax:
Practice Address - Street 1:2130 RICHEY ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-3334
Practice Address - Country:US
Practice Address - Phone:713-475-8488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2022-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68467183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist