Individual
MRS. AMETHYST DIETHRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1160 S BUSINESS IH 35, NEW BRAUNFELS, TX 78130-5715
(830) 387-6817
Mailing address
1160 S BUSINESS IH 35, NEW BRAUNFELS, TX 78130-5715
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
268178
TX
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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