Provider Demographics
NPI:1700117132
Name:SALINAS, ANGELICA YADIRA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANGELICA
Middle Name:YADIRA
Last Name:SALINAS
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 1:2206 W PALMA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:PALMVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:78572-1857
Mailing Address - Country:US
Mailing Address - Phone:956-585-3959
Mailing Address - Fax:956-585-7482
Practice Address - Street 1:2206 W PALMA VISTA DR
Practice Address - Street 2:
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572-1857
Practice Address - Country:US
Practice Address - Phone:956-585-3959
Practice Address - Fax:956-585-7482
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42369183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist