Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Oct 17, 2011
License(s)
RPH024978 (GA), 0000034283 (TN), 56319 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 8915 HARRY HINES BLVD | Dallas, TX 75235-1717 | 214-351-3490 |
| MAILING | 2013 MAGIC MANTLE DR | The Colony, TX 75056-4237 | 423-326-8727 |
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