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NPI Code Detail

MEDICARE: IMELDA CATALLO-BRIGHAM RPH

MEDICARE: IMELDA CATALLO-BRIGHAM RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist58277CA

General Provider Information

NPI Number : 1568025948
Entity Type Code : Individual
Provider Name (Legal Business Name) : IMELDA CATALLO-BRIGHAM RPH
Provider Business Mailing Address
First Line : 4400 E LOS COYOTES DIAGONAL
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-2819
Country : US
Telephone Number : 562-494-4282
Fax Number : 562-494-8762
Provider Business Practice Location Address
First Line : 4400 E LOS COYOTES DIAGONAL
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-2819
Country : US
Telephone Number : 562-494-4282
Fax Number : 562-494-8762
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2019
Last Update Date : 04/21/2019

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Directions to “ IMELDA CATALLO-BRIGHAM RPH” Practice Location

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