Provider Demographics
NPI:1851822514
Name:BIAGTAN-CLEMENTS, LOUELLA NARVARTE (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:LOUELLA
Middle Name:NARVARTE
Last Name:BIAGTAN-CLEMENTS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10305 PROMENADE PKWY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-9400
Mailing Address - Country:US
Mailing Address - Phone:916-544-6066
Mailing Address - Fax:916-544-6067
Practice Address - Street 1:10305 PROMENADE PKWY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95757-9400
Practice Address - Country:US
Practice Address - Phone:916-544-6066
Practice Address - Fax:916-544-6067
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49270183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist