Angelica Kristine Agustin Licop, RPH
NPI #1417504390 in La Palma, California
Provider Information
- NPI Number
- 1417504390
- Entity Type
- Individual
- Name
- Angelica Kristine Agustin Licop, RPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Aug 24, 2019
- Last Updated
- Jun 24, 2021
Practice Location
- Address
- 5600 ORANGETHORPE AVE APT 4401
- City
- La Palma
- State
- California
- ZIP Code
- 90623-1236
- Phone
- (949) 903-8450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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