Organization
DE ANGELO PHARMACY INC
Active
Other names
DeAngelo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE DEDE NORRIS RPH (PIC)
(281) 842-8500
Entity
Organization
Contact information
Practice address
112 HWY 146 S, SUITE B, LA PORTE, TX 77571-6123
(281) 842-8500
(281) 842-8505
Mailing address
112 HWY 146 SOUTH, STE B, LA PORTE, TX 77571-6123
(281) 842-8500
(281) 842-8505
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27817
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146532
—
TX
01
—
2133251
PK
—
Enumeration date
12/22/2011
Last updated
07/22/2021
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