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Individual provider · Community/Retail Pharmacy · Houston, TX
- NPI
- 1629679410
- Type
- Individual (Type 1)
- Primary specialty
- Community/Retail Pharmacy (Pharmacy)
- Specialty group
- Suppliers
- Taxonomy code
- 3336C0003X
- License number
- 36814 (TX)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-11-06
- Last updated
- 2023-09-04
Practice location
10750 Westview Dr
Houston, TX 77043-5019
(713) 984-8035