Most Relevant Information
Provider Data
| NPI Number: | 1003413089 |
| Provider Name: | MARIANELA VASQUEZ-SOSA PHARMACIST |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH86098 |
Most Important Dates
| Enumeration Date: | 10/03/2020 |
| Last Updated: | 05/02/2022 |
Provider Practice Location
570 10TH ST
IMPERIAL BEACH
CA
919321546
Practice Location Phone/Fax
| Phone: | 6199423110 |
| Fax: |
Provider Mailing Location
570 10TH ST
IMPERIAL BEACH
CA
919321546
Provider Mailing Phone/Fax
| Phone: | 6199423110 |
| Fax: |