Provider Demographics
NPI:1750859120
Name:MARTINEZ, ANGELICA ABIGAIL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANGELICA
Middle Name:ABIGAIL
Last Name:MARTINEZ
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 1:7499 DUBLIN BLVD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2415
Mailing Address - Country:US
Mailing Address - Phone:925-556-5914
Mailing Address - Fax:925-556-5919
Practice Address - Street 1:7499 DUBLIN BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2415
Practice Address - Country:US
Practice Address - Phone:925-556-5914
Practice Address - Fax:925-556-5919
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78147183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist