Provider Demographics
NPI:1376893321
Name:MARKOSE, SINDYA MERLIN (RPH, PHARMD)
Entity Type:Individual
Prefix:
First Name:SINDYA
Middle Name:MERLIN
Last Name:MARKOSE
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 RANCH HILL DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-5066
Mailing Address - Country:US
Mailing Address - Phone:972-977-9896
Mailing Address - Fax:
Practice Address - Street 1:1401 RANCH HILL DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-5066
Practice Address - Country:US
Practice Address - Phone:972-977-9896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52343183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist