MEDICARE: NORMA CASTELLANOS RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	30434	TX

General Provider Information

NPI Number	:	1538293162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMA CASTELLANOS RPH

Provider Business Mailing Address
First Line	:	1743 ALTA VISTA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-2501
Country	:	US
Telephone Number	:	713-926-5505
Fax Number	:	713-694-2450

Provider Business Practice Location Address
First Line	:	2310 TIDWELL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77093-6731
Country	:	US
Telephone Number	:	713-694-5977
Fax Number	:	713-694-2450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	07/08/2007

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Directions to “ NORMA CASTELLANOS RPH” Practice Location

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