Provider Demographics
NPI:1477078640
Name:VARGAS, CLAUDIA LIZETT (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:LIZETT
Last Name:VARGAS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8726 CLAVEL DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-4910
Mailing Address - Country:US
Mailing Address - Phone:915-630-7434
Mailing Address - Fax:
Practice Address - Street 1:4716 HONDO PASS DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-1421
Practice Address - Country:US
Practice Address - Phone:915-245-3580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-09
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60359183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist