Provider Demographics
NPI:1245528306
Name:WALSH, ANGELA ANN (RPH)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:ANN
Last Name:WALSH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:709 NORTH HIGHWAY 67
Mailing Address - Street 2:TARGET #1836
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104
Mailing Address - Country:US
Mailing Address - Phone:972-291-6813
Mailing Address - Fax:972-291-6813
Practice Address - Street 1:709 NORTH HIGHWAY 67
Practice Address - Street 2:T-1836
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2142
Practice Address - Country:US
Practice Address - Phone:972-291-6813
Practice Address - Fax:972-291-6813
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38083183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist