Provider Demographics
NPI:1952682106
Name:ROMANO, ALEXANDREA DENISE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDREA
Middle Name:DENISE
Last Name:ROMANO
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 TURK ST APT 12
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-4555
Mailing Address - Country:US
Mailing Address - Phone:402-660-3944
Mailing Address - Fax:
Practice Address - Street 1:830 3RD ST
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3302
Practice Address - Country:US
Practice Address - Phone:415-455-9919
Practice Address - Fax:415-455-4532
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65491183500000X
NE13411183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist