Individual ProviderRoland Rillamas LagpacanPharmacistPharmacy Service ProvidersPractice Address3131 West Hammer Lane, Stockton, CA 95209(209) 476-8819PECOS EnrollmentBased on the most recent information from CMS, provider Roland Rillamas Lagpacan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1548686769Provider TypeIndividualFull NameLagpacan, Roland RillamasCredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date3/12/2014Last Updated3/12/2014Contact InformationPractice LocationPractice Address3131 West Hammer Lane, Stockton, CA 95209Phone(209) 476-8819FaxUnlisted FaxMailing LocationMailing Address3131 West Hammer Lane, Stockton, CA 95209Phone(209) 476-8819FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRPH70000California