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Individual

MS. ANGELA ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
906 N.E. BIG BEND TRAIL, GLEN ROSE, TX 76043
(254) 897-2711
(254) 897-3751
Mailing address
906 N.E. BIG BEND TRAIL, GLEN ROSE, TX 76043
(254) 897-2711
(254) 897-3751

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-14380
KS
183500000X
Pharmacist
Primary
34922
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-14380
KANAS STATE BOARD OF PHARMACY LICENSE
KS
01
34922
STATE BOARD OF PHARMACY LICENSE NUMBER
TX
Enumeration date
08/24/2009
Last updated
05/02/2017
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