NPI age
19 years
Enumerated 2007-04-03
Across 18509 active pharmacist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (AR) | PD10232 | STATE LICENSE NUMBER |
| 01 (OK) | 10338 | PHARMACY STATE LICENSE |
| 01 (TX) | 30801 | TEXAS STATE LICENSE |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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