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NPI Code Detail

MEDICARE: ANITA CASTILLO PHARMD

MEDICARE: ANITA CASTILLO 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
1183500000XPharmacist55679TX

General Provider Information

NPI Number : 1053917492
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA CASTILLO PHARMD
Provider Business Mailing Address
First Line : 2534 CLYMER ST
Second Line :
City : DALLAS
State : TX
Zip : 75212-4512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 603 S CEDAR RIDGE DR
Second Line :
City : DUNCANVILLE
State : TX
Zip : 75137-2201
Country : US
Telephone Number : 972-296-3891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2020
Last Update Date : 12/10/2020

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Directions to “ ANITA CASTILLO PHARMD” Practice Location

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