Individual
MRS. CASSANDRA LANETTE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(102) 292-1144
Mailing address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236-9908
(210) 292-1144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42654
TX
Other
Enumeration date
06/12/2006
Last updated
01/09/2020
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