Individual
RENEE ANNE BELLANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4301 BROADWAY, CPO 99, SAN ANTONIO, TX 78209
(210) 883-1088
(210) 883-1013
Mailing address
10448 REMUDA VIEW DR, SAN ANTONIO, TX 78254
(210) 688-6254
(210) 805-3013
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
24710
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11852
PHARMACIST LICENSE
LA
01
—
24710
PHARMACIST LICENSE
TX
Enumeration date
09/29/2006
Last updated
08/06/2007
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