Provider Demographics
NPI:1891096897
Name:VILLAROSA, LUZIEN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LUZIEN
Middle Name:
Last Name:VILLAROSA
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 1:22451 ANTONIO PKWY
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-2813
Mailing Address - Country:US
Mailing Address - Phone:949-855-5458
Mailing Address - Fax:949-858-0371
Practice Address - Street 1:22451 ANTONIO PKWY
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2813
Practice Address - Country:US
Practice Address - Phone:949-855-5458
Practice Address - Fax:949-858-0371
Is Sole Proprietor?:No
Enumeration Date:2010-11-06
Last Update Date:2010-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist