Individual
ANGIE TANSHEA EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6626 FM 1960 RD E, HUMBLE, TX 77346-2712
(281) 852-4466
Mailing address
9523 FOSSIL CANYON DR, HUMBLE, TX 77396-3084
(832) 816-6487
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43836
TX
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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