Provider Demographics
NPI:1518609304
Name:PASCUAL, SANDRA CALIGUIA
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:CALIGUIA
Last Name:PASCUAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 NIJOK AVE
Mailing Address - Street 2:
Mailing Address - City:MANGILAO
Mailing Address - State:GU
Mailing Address - Zip Code:96913-5728
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:875 N RTE 2 UNIT A-106
Practice Address - Street 2:
Practice Address - City:AGAT
Practice Address - State:GU
Practice Address - Zip Code:96928
Practice Address - Country:US
Practice Address - Phone:671-565-3043
Practice Address - Fax:671-565-3048
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUPH-0417183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist