Provider Demographics
NPI:1730603945
Name:AMAGLIANI, ADRIANA NICOLLE (PHARMD)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:NICOLLE
Last Name:AMAGLIANI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 BOONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77808-2225
Mailing Address - Country:US
Mailing Address - Phone:979-731-1401
Mailing Address - Fax:979-731-1480
Practice Address - Street 1:2350 BOONVILLE RD
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77808-2225
Practice Address - Country:US
Practice Address - Phone:979-731-1401
Practice Address - Fax:979-731-1480
Is Sole Proprietor?:No
Enumeration Date:2017-07-29
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist