Individual ProviderAngela Hughes CampbellPharmacistPharmacy Service ProvidersPractice Address6801 S Broadway Ave, Tyler, TX 75703-4733(903) 581-4842PECOS EnrollmentBased on the most recent information from CMS, provider Angela Hughes Campbell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1336749704Provider TypeIndividualFull NameCampbell, Angela HughesCredentialPHARM.D., MS, BCPPGenderFemaleSole ProprietorNoEnumeration Date10/27/2020Last Updated10/27/2020Contact InformationPractice LocationPractice Address6801 S Broadway Ave, Tyler, TX 75703-4733Phone(903) 581-4842FaxUnlisted FaxMailing LocationMailing Address6801 S Broadway Ave, Tyler, TX 75703-4733PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense43259TexasProvider IdentifiersIDDescriptionIssuerID43259DescriptionOtherIssuerTX PHARMACY LICENSETexas