Provider Demographics
NPI:1972706216
Name:CHAPARRO, ANA BERTHA (PHARMD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:BERTHA
Last Name:CHAPARRO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:BERTHA
Other - Last Name:HACKLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:10917 HIGHWOOD WAY
Mailing Address - Street 2:APT B
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-1026
Mailing Address - Country:US
Mailing Address - Phone:214-240-4035
Mailing Address - Fax:
Practice Address - Street 1:5005 N PIEDRAS ST
Practice Address - Street 2:WBAMC, ATT PHARMACY
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79920-5001
Practice Address - Country:US
Practice Address - Phone:915-569-2107
Practice Address - Fax:915-569-1233
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44076183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist