Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Aug 1, 2016
License(s)
58154 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2315 RICHMOND RD | Texarkana, TX 75503-2485 | 903-832-3524 |
| LOCATION | 2315 RICHMOND RD | Texarkana, TX 75503-2485 | 903-832-3524 |
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.