Provider Demographics
NPI:1760958201
Name:CIRIT, BERNADETTE CALLEJO (PHARMD)
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:CALLEJO
Last Name:CIRIT
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 1:544 E MAUDE AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4431
Mailing Address - Country:US
Mailing Address - Phone:510-386-7392
Mailing Address - Fax:
Practice Address - Street 1:544 E MAUDE AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4431
Practice Address - Country:US
Practice Address - Phone:510-386-7392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA771691835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care