Provider Demographics
NPI:1356174916
Name:AREBALO, MARGIE (PHARMD)
Entity type:Individual
Prefix:
First Name:MARGIE
Middle Name:
Last Name:AREBALO
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 1:23607 HICKORY PASS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78264-4232
Mailing Address - Country:US
Mailing Address - Phone:210-200-9402
Mailing Address - Fax:
Practice Address - Street 1:2070 W OAKLAWN RD
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:TX
Practice Address - Zip Code:78064-4607
Practice Address - Country:US
Practice Address - Phone:830-569-3289
Practice Address - Fax:830-569-4571
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74514183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist