Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Nov 12, 2009
License(s)
035146 (TX), 050155 (NY), 28RI03101700 (NJ)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5775 FM 423 | Frisco, TX 75034-8956 | |
| LOCATION | 5775 FM 423 | Frisco, TX 75034-8956 | 214-469-1486 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.