Most Relevant Information
Provider Data
| NPI Number: | 1003649153 |
| Provider Name: | BRYANNA ALEXANDRIA CANDELARIA |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 74584 |
Most Important Dates
| Enumeration Date: | 08/23/2024 |
| Last Updated: | 08/23/2024 |
Provider Practice Location
5001 N PIEDRAS ST
EL PASO
TX
799304210
Practice Location Phone/Fax
| Phone: | 9155646100 |
| Fax: |
Provider Mailing Location
13256 ZAMBIA CT
HORIZON CITY
TX
799286222
Provider Mailing Phone/Fax
| Phone: | 9152279825 |
| Fax: |