Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Apr 8, 2024
License(s)
72873 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 7676 PHOENIX DR APT 1523 | Houston, TX 77030-4725 | 612-598-4342 |
| LOCATION | 6565 FANNIN ST | Houston, TX 77030-2703 | 612-598-4342 |
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