Provider Demographics
NPI:1891395257
Name:ARREOLA, DANIEL ARMANDO (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ARMANDO
Last Name:ARREOLA
Suffix:
Gender:M
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 1:558 N COMAL ST
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-4606
Mailing Address - Country:US
Mailing Address - Phone:713-412-9453
Mailing Address - Fax:
Practice Address - Street 1:496 S BIBB AVE
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-5063
Practice Address - Country:US
Practice Address - Phone:830-773-9001
Practice Address - Fax:830-757-8001
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63487183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist