Individual
CAROL LAWSON VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 E 42ND ST, ODESSA, TX 79762-5947
(432) 362-4555
(432) 362-4514
Mailing address
3801 E 42ND ST, ODESSA, TX 79762-5947
(432) 362-4555
(432) 362-4514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22598
TX
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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