Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Aug 29, 2023
License(s)
69166 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2022 FOX GLEN DR | Allen, TX 75013-2914 | 972-302-7423 |
| LOCATION | 6301 ELDORADO PKWY | Mckinney, TX 75070-5627 | 972-542-4356 |
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.