An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
TX license #13739taxonomy 183500000X
Identifiers
Type
Value
Notes
05 (TX)
140213
01 (TX)
4512198
NABP
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
city drug
Type code 3recorded 2007-02-07
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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