Organization
CENTER FOR OSTEOPOROSIS & ARTHRITIS I, PA
Active
Other names
Angeles Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE MISKIMINS (MANAGER, LICENSING)
(817) 572-0009
Entity
Organization
Contact information
Practice address
2601 CORNERSTONE BLVD, STE A, EDINBURG, TX 78539-8479
(956) 329-6890
(956) 329-6891
Mailing address
1620 W NORTHWEST HWY, SUITE 100, GRAPEVINE, TX 76051-3177
(817) 572-0009
(817) 720-1039
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164031
PK
—
Enumeration date
09/08/2016
Last updated
09/08/2016
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