Teresa Anne Petrilla in Fairfield - Pharmacotherapy

Teresa Anne Petrilla - NPI 1962594523

Teresa Anne Petrilla is a Pharmacotherapy in Fairfield, California. Teresa Anne Petrilla practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for Teresa Anne Petrilla is 1962594523. The last update date is 2007-07-08.

Teresa Anne Petrilla's current location address is 1550 Gateway Blvd, Fairfield, California. You can contact this provider via phone number 7074274425 and fax number 7074274384. The mailing address for Teresa Anne Petrilla is 1550 Gateway Blvd, Fairfield, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Teresa Anne Petrilla
Address 1550 Gateway Blvd, Fairfield, California
Phone Number 7074274425
Fax Number 7074274384
Sole Proprietor N
Credentials PHARMD, CD

NPI Number Detail

NPI Number 1962594523
Provider Enumeration Date 2006-09-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1550 Gateway Blvd
City Fairfield
State California (CA)
Post Code 945336901
Phone Number 7074274425
Fax Number 7074274384

Provider's Primary Taxonomy Detail

Speciality Pharmacotherapy
Taxonomy 1835P1200X
Licence No RPH47044
Definition:
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and cons

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FAQs about Teresa Anne Petrilla

What is the Teresa Anne Petrilla's unique identification number?

The Teresa Anne Petrilla has been assigned the NPI (National Provider Identifier) Number 1962594523 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Teresa Anne Petrilla is geographically located?

The Teresa Anne Petrilla is physically situated at the following location: 1550 Gateway Blvd, Fairfield, CA, 945336901.

What is the area of specialization for Teresa Anne Petrilla, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Teresa Anne Petrilla is Pharmacotherapy, and the corresponding taxonomy code that categorizes this area of expertise is 1835P1200X.

On what date did the Teresa Anne Petrilla receive the assignment of its 1962594523 from the Centers for Medicare & Medicaid Services?

The Teresa Anne Petrilla was issued its 1962594523 by the Centers for Medicare & Medicaid Services on 2006-09-29.

As of what date were the details related to Teresa Anne Petrilla most recently updated or revised?

The information pertaining to Teresa Anne Petrilla, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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