Provider Demographics
NPI:1770254294
Name:BAQUIR, ROCHENELLE PILAPIL
Entity Type:Individual
Prefix:
First Name:ROCHENELLE
Middle Name:PILAPIL
Last Name:BAQUIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 N HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-3429
Mailing Address - Country:US
Mailing Address - Phone:714-595-0238
Mailing Address - Fax:
Practice Address - Street 1:951 N HOLLY ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-3429
Practice Address - Country:US
Practice Address - Phone:714-595-0238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85333183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist