Provider Demographics
NPI:1558961649
Name:REGALADO, ADRIANA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:
Last Name:REGALADO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 N BRYAN RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-0240
Mailing Address - Country:US
Mailing Address - Phone:956-391-3422
Mailing Address - Fax:956-391-3420
Practice Address - Street 1:1006 N BRYAN RD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-0240
Practice Address - Country:US
Practice Address - Phone:956-391-3422
Practice Address - Fax:956-391-3420
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57081183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist