IndividualActive
Andrea Polk, CPHT
NPI 1255077293 · Clinic Pharmacy · Irving, TX
Provider details
- NPI number
- 1255077293
- Entity type
- Individual
- Primary specialty
- Clinic PharmacySuppliers
- Credential
- CPHT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1124201215 (TX)
Practice location
2001 W John Carpenter Fwy
Irving, TX 75063-3255
Phone: (800) 379-0092
Mailing address
642 St Charles Ct
Arlington, TX 76013-1370
Registry dates
- Enumerated
- 2022-05-11
- Last updated
- 2022-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.