Healthcare Provider Details

I. General information

NPI: 1972706216
Provider Name (Legal Business Name): ANA BERTHA CHAPARRO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANA BERTHA HACKLER PHARMD

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 N PIEDRAS ST WBAMC, ATT PHARMACY
EL PASO TX
79920-5001
US

IV. Provider business mailing address

10917 HIGHWOOD WAY APT B
EL PASO TX
79936-1026
US

V. Phone/Fax

Practice location:
  • Phone: 915-569-2107
  • Fax: 915-569-1233
Mailing address:
  • Phone: 214-240-4035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number44076
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: