Individual ProviderMaritess M PhuaPharmacistPharmacy Service ProvidersPractice Address3315 S H St, Bakersfield, CA 93304-6533(661) 396-0634PECOS EnrollmentBased on the most recent information from CMS, provider Maritess M Phua 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 yesterday at 9:43 AM.Profile DetailsProvider ID1578987202Provider TypeIndividualFull NamePhua, Maritess MTitleDr.CredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date2/18/2014Last Updated2/18/2014Contact InformationPractice LocationPractice Address3315 S H St, Bakersfield, CA 93304-6533Phone(661) 396-0634Fax(661) 396-0280Mailing LocationMailing Address3315 S H St, Bakersfield, CA 93304-6533Phone(661) 396-0634Fax(661) 396-0280Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense70296California