Provider Demographics
NPI:1780466847
Name:ARELLANO, BRYANNA (CPHT)
Entity type:Individual
Prefix:
First Name:BRYANNA
Middle Name:
Last Name:ARELLANO
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 HICKORY KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-2465
Mailing Address - Country:US
Mailing Address - Phone:832-470-9036
Mailing Address - Fax:
Practice Address - Street 1:2710 PEARLAND PKWY
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5346
Practice Address - Country:US
Practice Address - Phone:281-485-5047
Practice Address - Fax:866-519-0578
Is Sole Proprietor?:No
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX319450183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician