NPI 1861095382 · live from the CMS NPI Registry
Angel Acosta, Pharm.D.
Pharmacist in Dallas, TX. National Provider Identifier 1861095382, active.
NPI record
| NPI | 1861095382 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 2323 W Illinois Ave, Dallas, TX 75224 |
| Practice phone | 214-331-5466 |
| Mailing address | 511 E Lynn Creek Dr, Arlington, TX 76002 |
| Enumerated | November 18, 2020 |
| Last updated | November 18, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | 57857 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.