Individual
PHILLISCITA PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 FM 2181, CORINTH, TX 76210-2136
(940) 497-1105
Mailing address
1101 FM 2181, CORINTH, TX 76210-2136
(940) 497-1105
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
570107010254596
CA
Other
Enumeration date
11/10/2021
Last updated
11/12/2021
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