MEDICARE: GUARDIAN ANGEL PHARMACY

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	333600000X	Pharmacy
2	3336C0004X	Compounding Pharmacy
3	3336C0003X	Community/Retail Pharmacy	27909	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2136776	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760553788
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUARDIAN ANGEL PHARMACY

Provider Business Mailing Address
First Line	:	1537 N. ZARAGOZA
Second Line	:	STE 1A
City	:	EL PASO
State	:	TX
Zip	:	79936
Country	:	US
Telephone Number	:	915-850-0713
Fax Number	:	915-850-0717

Provider Business Practice Location Address
First Line	:	1537 ZARAGOSA
Second Line	:	STE 1A
City	:	EL PASO
State	:	TX
Zip	:	79936
Country	:	US
Telephone Number	:	915-850-0713
Fax Number	:	915-850-0717

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	PASCHAL IKE
Credential	:
Telephone Number	:	915-850-0713

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	04/27/2016

Similar Medicare Providers

1689386203 — FRANCESS PAMANI ALCONCEL
Practice Location Address:

12330 PELLICANO DRIVE , SUITE B
EL PASO, TX
79936

Practice Phone: 915-613-5255
Practice Fax: 915-701-2845

1437005691 — CESAR OCTAVIO MORENO AGUILAR PHARMD
Practice Location Address:

11768 ROYAL BANNER LN
EL PASO, TX
79936-2614

Practice Phone: 915-222-1151
Practice Fax:

1891641049 — YASMIN CELESTE GOMEZ
Practice Location Address:

2404 LAKE SUPERIOR LN
EL PASO, TX
79936-3137

Practice Phone: 915-256-8938
Practice Fax:

1568213759 — VIRGINIAS FOSTER CARE
Practice Location Address:

3469 RISING SUN ST
EL PASO, TX
79936-1352

Practice Phone: 915-740-7622
Practice Fax:

1255910188 — JESUS ENRIQUE SALCIDO JR. NP
Practice Location Address:

1508 N ZARAGOZA RD STE A-D
EL PASO, TX
79936-8034

Practice Phone: 915-298-5425
Practice Fax:

1568319291 — DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Practice Location Address:

11125 LA QUINTA PL STE D
EL PASO, TX
79936-5254

Practice Phone: 915-422-7608
Practice Fax:

1649943648 — PREMISE HEALTH OF TEXAS MEDICAL PA
Practice Location Address:

1414 ABILITY DR
EL PASO, TX
79936-6415

Practice Phone: 915-225-1643
Practice Fax:

Directions to “GUARDIAN ANGEL PHARMACY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.