Organization
DE ANGELO PHARMACY INC
Active
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
Update your record
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