Provider Demographics
NPI:1437821667
Name:ANGUIANO, VALERY SAMANTHA (PHARMACY TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:VALERY
Middle Name:SAMANTHA
Last Name:ANGUIANO
Suffix:
Gender:F
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 W ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-2448
Mailing Address - Country:US
Mailing Address - Phone:254-773-4585
Mailing Address - Fax:
Practice Address - Street 1:1314 W ADAMS AVE
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-2448
Practice Address - Country:US
Practice Address - Phone:254-773-4585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX288334183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician