Provider Demographics
NPI:1932748662
Name:ARMSTRONG, TAMERA (RPH)
Entity Type:Individual
Prefix:
First Name:TAMERA
Middle Name:
Last Name:ARMSTRONG
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 1:3005 WINCREST DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-7001
Mailing Address - Country:US
Mailing Address - Phone:972-369-9009
Mailing Address - Fax:
Practice Address - Street 1:1105 W SOUTH COMMERCE ST
Practice Address - Street 2:
Practice Address - City:WILLS POINT
Practice Address - State:TX
Practice Address - Zip Code:75169-2355
Practice Address - Country:US
Practice Address - Phone:903-873-8237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-28
Last Update Date:2019-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39628183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist