Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Oct 30, 2020
License(s)
53029 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 203 US LOOP 290 W | Brenham, TX 77833 | 979-830-1023 |
| LOCATION | 203 US LOOP 290 W | Brenham, TX 77833 | 979-830-1023 |
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.