Provider Demographics
NPI:1780285411
Name:PSHIGODA, CARA (PHARMD)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:PSHIGODA
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 1:6111 TUSCANY VLG
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-6556
Mailing Address - Country:US
Mailing Address - Phone:806-677-6072
Mailing Address - Fax:
Practice Address - Street 1:3700 I 40 E
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79103-6127
Practice Address - Country:US
Practice Address - Phone:806-373-2611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41568183500000X
TX21595183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist