Provider Demographics
NPI:1013235050
Name:CABALLES, ANARYS IVETTE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANARYS
Middle Name:IVETTE
Last Name:CABALLES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 LAKE RD
Mailing Address - Street 2:B
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-1513
Mailing Address - Country:US
Mailing Address - Phone:254-933-6010
Mailing Address - Fax:254-933-6005
Practice Address - Street 1:309 LAKE RD
Practice Address - Street 2:B
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-1513
Practice Address - Country:US
Practice Address - Phone:254-933-6010
Practice Address - Fax:254-933-6005
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42592183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist