Provider Demographics
NPI:1457986473
Name:CASTAGNETO, ANGELA SZE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:SZE
Last Name:CASTAGNETO
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 1:11705 SLATE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-5198
Mailing Address - Country:US
Mailing Address - Phone:844-838-6902
Mailing Address - Fax:
Practice Address - Street 1:11705 SLATE AVE STE 100
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-5198
Practice Address - Country:US
Practice Address - Phone:844-838-6902
Practice Address - Fax:866-725-1233
Is Sole Proprietor?:No
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55625183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist