Dr Lisa Marie Elazegui, PHARMD is a
Pharmacist based in Bradbury, California. Dr Lisa Marie Elazegui is licensed to practice in California (license number 61784) and her current practice location is
102 Mount Olive Dr, Bradbury, California. She can be reached at her office (for appointments etc.) via phone at
(626) 357-6189.
NPI number for Dr Lisa Marie Elazegui is 1134457294 and her current mailing address is 102 Mount Olive Dr, Bradbury, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134457294.
Healthcare Provider's Profile
| Full Name | Dr Lisa Marie Elazegui |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
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| Location | 102 Mount Olive Dr, Bradbury, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134457294
- Provider Enumeration Date: 12/01/2009
- Last Update Date: 12/01/2009
Medical Identifiers
Medical identifiers for Dr Lisa Marie Elazegui such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134457294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 61784 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lisa Marie Elazegui is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lisa Marie Elazegui, PHARMD
102 Mount Olive Dr,
Bradbury, CA 91008-1260
Ph: () - | Dr Lisa Marie Elazegui, PHARMD
102 Mount Olive Dr,
Bradbury, CA 91008-1260
Ph: (626) 357-6189 |
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