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Individual

DR. WILLIAM R FAT-ANTHONY

Active
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Individual

DR. WILLIAM R FAT-ANTHONY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45974
TX
305S00000X
Point of Service
45D2206609
TX
332B00000X
Durable Medical Equipment & Medical Supplies
28238
TX
333600000X
Pharmacy
28238
TX
3336C0003X
Community/Retail Pharmacy
28238
TX

Other

Enumeration date
08/10/2010
Last updated
03/30/2021
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