Individual
COLIN KHAYREE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1912 FAIRWAY GLEN DR, WYLIE, TX 75098-5559
(214) 425-8612
Mailing address
1912 FAIRWAY GLEN DR, WYLIE, TX 75098-5559
(214) 425-8612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
72766
TX
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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