IndividualActive
Amanda La, PHARM.D.
NPI 1578964136 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Vallejo, CA
Provider details
- NPI number
- 1578964136
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 69480 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
525 Oregon St
Vallejo, CA 94590-3201
Phone: (707) 648-2200
Fax: (707) 649-4045
Approximate (ZIP-level) locationGet directions
Mailing address
5082 Staghorn Dr
Vallejo, CA 94591-8580
Registry dates
- Enumerated
- 2014-09-12
- Last updated
- 2014-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.