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NPI Code Detail

MEDICARE: MS. CATHERINE ANGELICA PURCELL RPH

MEDICARE: MS. CATHERINE ANGELICA PURCELL 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
1183500000XPharmacist33837TX

General Provider Information

NPI Number : 1255686937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE ANGELICA PURCELL RPH
Provider Business Mailing Address
First Line : 510 OAK FOREST CT
Second Line :
City : KENNEDALE
State : TX
Zip : 76060-5602
Country : US
Telephone Number : 817-372-9725
Fax Number : 817-590-2489
Provider Business Practice Location Address
First Line : 2631 GRAVEL DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76118-6982
Country : US
Telephone Number : 817-590-0073
Fax Number : 817-590-2489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2012
Last Update Date : 07/18/2012

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