Individual
DEBORAH MARIE ZAGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3310 BRIDLEWOOD DR, GRAPEVINE, TX 76051-6526
(817) 689-3602
Mailing address
3310 BRIDLEWOOD DR, GRAPEVINE, TX 76051-6526
(817) 689-3602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14239
OK
183500000X
Pharmacist
Primary
33750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14239
OKLAHOMA STATE BOARD OF PHARMACY
OK
01
—
33750
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
02/14/2017
Last updated
02/14/2017
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