MEDICARE: ELENA ABIGAIL VASQUEZ PHARMD

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	76895	TX

General Provider Information

NPI Number	:	1942143524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA ABIGAIL VASQUEZ PHARMD

Provider Business Mailing Address
First Line	:	6511 GEORGIANNA DR
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77503-4434
Country	:	US
Telephone Number	:	832-493-1446
Fax Number	:

Provider Business Practice Location Address
First Line	:	4101 FAIRMONT PKWY
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-3301
Country	:	US
Telephone Number	:	281-998-2303
Fax Number	:

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

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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