Provider Demographics
NPI:1356986392
Name:CHAPA, LIZAYRA DENILLE (PHARMD)
Entity type:Individual
Prefix:
First Name:LIZAYRA
Middle Name:DENILLE
Last Name:CHAPA
Suffix:
Gender:F
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:D32 CALLE MARGINAL
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-5555
Mailing Address - Country:US
Mailing Address - Phone:787-620-9602
Mailing Address - Fax:787-786-0591
Practice Address - Street 1:D32 CALLE MARGINAL
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5555
Practice Address - Country:US
Practice Address - Phone:787-620-9602
Practice Address - Fax:787-786-0591
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6505183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist