Provider Demographics
NPI:1558808303
Name:FILO, DONNA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:FILO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 E ARAPAHO RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-2497
Mailing Address - Country:US
Mailing Address - Phone:972-234-4542
Mailing Address - Fax:214-828-9508
Practice Address - Street 1:1301 E ARAPAHO RD
Practice Address - Street 2:SUITE 103
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2497
Practice Address - Country:US
Practice Address - Phone:972-234-4542
Practice Address - Fax:214-828-9508
Is Sole Proprietor?:No
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35339183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist