Healthcare Provider Details

I. General information

NPI: 1790428522
Provider Name (Legal Business Name): ASHLEY SACLOLO TORRES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY SACLOLO TORRES PHARMD

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 21ST ST
SACRAMENTO CA
95811-5216
US

IV. Provider business mailing address

1500 21ST ST
SACRAMENTO CA
95811-5216
US

V. Phone/Fax

Practice location:
  • Phone: 916-914-6256
  • Fax: 916-914-6336
Mailing address:
  • Phone: 916-914-6256
  • Fax: 916-325-1986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number86049
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: