Provider Demographics
NPI:1821698457
Name:LEVARIO, ANGELINA (RPH)
Entity Type:Individual
Prefix:
First Name:ANGELINA
Middle Name:
Last Name:LEVARIO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 NORWOOD PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-6600
Mailing Address - Country:US
Mailing Address - Phone:512-339-2050
Mailing Address - Fax:512-339-2165
Practice Address - Street 1:1030 NORWOOD PARK BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-6600
Practice Address - Country:US
Practice Address - Phone:512-339-2050
Practice Address - Fax:512-339-2165
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-01
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32164183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist