Provider Demographics
NPI:1003126632
Name:ALCARIA, RIZZA VANESSA (PHARMD)
Entity type:Individual
Prefix:MS
First Name:RIZZA
Middle Name:VANESSA
Last Name:ALCARIA
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3495 SONOMA BLVD STE K
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-2984
Mailing Address - Country:US
Mailing Address - Phone:707-200-4411
Mailing Address - Fax:707-652-5906
Practice Address - Street 1:3495 SONOMA BLVD STE K
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-2984
Practice Address - Country:US
Practice Address - Phone:707-200-4411
Practice Address - Fax:707-652-5906
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-17
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA183500000XMedicaid