Healthcare Provider Details

I. General information

NPI: 1619252038
Provider Name (Legal Business Name): ENRIQUE ANG ROMERO II PHARMACIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2011
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 S COOMBS ST
NAPA CA
94559-4528
US

IV. Provider business mailing address

291 S COOMBS ST
NAPA CA
94559-4528
US

V. Phone/Fax

Practice location:
  • Phone: 707-252-0101
  • Fax:
Mailing address:
  • Phone: 707-252-0101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number62383
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17468
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: