Healthcare Provider Details

I. General information

NPI: 1811218399
Provider Name (Legal Business Name): CALLY CHIDY NLEMCHY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2010
Last Update Date: 06/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 WEST TYLER AVE
HARLINGEN TX
78550-5939
US

IV. Provider business mailing address

2901 HAINE DRIVE #2608
HARLINGEN TX
78550-7820
US

V. Phone/Fax

Practice location:
  • Phone: 956-364-0249
  • Fax: 956-365-4743
Mailing address:
  • Phone: 956-412-3518
  • Fax: 956-365-4743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number45930
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: