Charisse May C. Vivar, Pharm.D.
Pharmacist in McClellan, CA. Individual provider (NPI-1).
NPI number1306127261
StatusActive
Last updated in NPPESFeb 27, 2014
Details
- NPI
- 1306127261
- Entity type
- Individual (NPI-1)
- Name
- Charisse May C. Vivar
- Credential
- Pharm.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 6, 2011
- Last updated
- Feb 27, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | S018777 | AZ | Yes |
| 183500000X | Pharmacist | 66500 | CA |
Other names
- Charisse May V. Carolino (Former Name)
Practice location
5342 Dudley BlvdVa Northern California Health Care System 119/Mcc
McClellan, CA 95652-1012
Phone 916-561-7422
Mailing address
4385 Weathervane WayRoseville, CA 95747-4207
Phone 415-990-5951
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