Victoria Alexis Dejaco | San Francisco, CA • PECOS Search

Victoria Alexis Dejaco

Pharmacist

Pharmacy Service Providers

500 Parnassus Ave # J, San Francisco, CA 94143-2203

(415) 681-3394 (561) 251-8973

PECOS Enrollment

Based on the most recent information from CMS, provider Victoria Alexis Dejaco does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1356952444
Provider Type
Individual
Full Name
Dejaco, Victoria Alexis
Credential
PHARMD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/12/2020
Last Updated
8/12/2020

Contact Information

Practice Location

500 Parnassus Ave # J, San Francisco, CA 94143-2203

Unlisted Fax

Mailing Location

3093 Broadway Unit 424, Oakland, CA 94611-5790

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 82154 California