Provider Demographics
NPI:1982355814
Name:NGANGA, SYLVIA N (RPH)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:N
Last Name:NGANGA
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 1:324 ARBOR GLEN DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-5548
Mailing Address - Country:US
Mailing Address - Phone:121-441-4832
Mailing Address - Fax:
Practice Address - Street 1:324 ARBOR GLEN DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76140-5548
Practice Address - Country:US
Practice Address - Phone:121-441-4832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59575183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist