Andrea Alston
Individual provider Active NPI Pharmacist · Texarkana, TX
NPI 1306259676 · NPPES record last updated Jun 4, 2014
Key facts
- NPI
- 1306259676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 52840 (TX)
- Practice address
- 4415 N Stateline Ave
Texarkana, TX 75503-3138 - Phone
- (903) 792-8918
- Fax
- (903) 792-6198
- NPI assigned
- Jun 4, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52840 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 52840 | TX | Yes |
Addresses
Primary practice location
4415 N Stateline Ave
Texarkana, TX 75503-3138
Mailing address
4415 N Stateline Ave
Texarkana, TX 75503-3138
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.