Individual provider · Type 1 NPI
Maria Fidelis Bacolod
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Redondo Beach, CA
NPI number
1790109940
Active
Practice location
1413 Hawthorne Blvd
Redondo Beach, CA 90278-3923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary | 1835P0018X | 55737 (CA) |
| Pharmacist | 183500000X | 55737 (CA) |
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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About NPI 1790109940
Maria Fidelis Bacolod's National Provider Identifier is 1790109940, issued on Feb 7, 2014. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Redondo Beach, CA. The record was last updated on May 29, 2026.