Individual
MS. CONNIE STROUD EWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5001 N STATE LINE AVE STE C, TEXARKANA, TX 75503-2962
(800) 785-4197
(877) 737-9135
Mailing address
6 STONERIDGE CIR, TEXARKANA, TX 75503-1460
(903) 838-9647
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
033937
MI
183500000X
Pharmacist
11840
TN
183500000X
Pharmacist
12236
NE
183500000X
Pharmacist
17557
LA
183500000X
Pharmacist
Primary
27433
TX
183500000X
Pharmacist
9347
AR
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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