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Individual
TODD G STRAIN
Active
Individual
TODD G STRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
20614
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20614
PHARMACY LICENSE
TX
01
—
4500923753
CLIA
TX
01
—
4517162
NCPDP
TX
01
—
L0118826
DPS
TX
Enumeration date
10/23/2007
Last updated
03/07/2023
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