Individual
LATODRA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCSCP
Contact information
Practice address
3130 CARMEL ST, DALLAS, TX 75204-6124
(214) 298-9141
Mailing address
3130 CARMEL ST, DALLAS, TX 75204-6124
(214) 298-9141
Taxonomy
Speciality
Code
Description
License number
State
1835C0207X
Compounded Sterile Preparations Pharmacist
Primary
19002
MD
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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