Provider Demographics
NPI:1740591817
Name:GUINTO, PRIMROSE RHEA F (RPH)
Entity Type:Individual
Prefix:MISS
First Name:PRIMROSE RHEA
Middle Name:F
Last Name:GUINTO
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 1:724 STUBBS RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1845
Mailing Address - Country:US
Mailing Address - Phone:925-458-0955
Mailing Address - Fax:
Practice Address - Street 1:580 BAILEY RD
Practice Address - Street 2:
Practice Address - City:BAY POINT
Practice Address - State:CA
Practice Address - Zip Code:94565-4304
Practice Address - Country:US
Practice Address - Phone:925-458-0955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist