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Individual
JAMES CONG
Active
Individual
JAMES CONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64978
TX
1835G0303X
Geriatric Pharmacist
64978
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
64978
TX
1835P1200X
Pharmacotherapy Pharmacist
64978
TX
1835P1300X
Psychiatric Pharmacist
64978
TX
1835P2201X
Ambulatory Care Pharmacist
64978
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64978
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
08/03/2019
Last updated
08/03/2019
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