Organization
GUARDIAN ANGEL PHARMACY
Active
Other names
Guardian Angel Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PASCHAL IKE (CEO/OWNER)
(915) 850-0713
Entity
Organization
Contact information
Practice address
1537 ZARAGOSA, STE 1A, EL PASO, TX 79936
(915) 850-0713
(915) 850-0717
Mailing address
1537 N. ZARAGOZA, STE 1A, EL PASO, TX 79936
(915) 850-0713
(915) 850-0717
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27909
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145448
—
TX
01
—
2136776
PK
—
Enumeration date
11/13/2006
Last updated
04/27/2016
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