Provider Demographics
NPI:1245837228
Name:RAPIZ, VIGIL BETH SOLIDUM (PHARMD, MHA, MPA)
Entity type:Individual
Prefix:
First Name:VIGIL BETH
Middle Name:SOLIDUM
Last Name:RAPIZ
Suffix:
Gender:F
Credentials:PHARMD, MHA, MPA
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:SOLIDUM
Other - Last Name:RAPIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD, MHA, MPA
Mailing Address - Street 1:PO BOX 47
Mailing Address - Street 2:
Mailing Address - City:BOYES HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95416-0047
Mailing Address - Country:US
Mailing Address - Phone:707-364-2288
Mailing Address - Fax:
Practice Address - Street 1:42107 BIG BEAR BLVD
Practice Address - Street 2:
Practice Address - City:BIG BEAR LAKE
Practice Address - State:CA
Practice Address - Zip Code:92315-1530
Practice Address - Country:US
Practice Address - Phone:909-866-1076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-03
Last Update Date:2020-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83089183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist