Provider Demographics
NPI:1659404796
Name:PINCKARD, ANGELA STCLAIR (BS, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:STCLAIR
Last Name:PINCKARD
Suffix:
Gender:F
Credentials:BS, PHARMD
Other - Prefix:
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Mailing Address - Street 1:5000 COMANCHE VISTA CT
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-5373
Mailing Address - Country:US
Mailing Address - Phone:817-319-7830
Mailing Address - Fax:817-433-9911
Practice Address - Street 1:6601 HARRIS PKWY
Practice Address - Street 2:BAYLOR INSTITUTE FOR REHABILITATION AT FORT WORTH
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-6108
Practice Address - Country:US
Practice Address - Phone:817-319-7830
Practice Address - Fax:817-433-9911
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX369581835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy