Individual
JASMINE K BRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13515 SOUTHWEST FWY STE 208, SUGAR LAND, TX 77478-3547
(937) 304-1216
Mailing address
13515 SOUTHWEST FWY STE 208, SUGAR LAND, TX 77478-3547
(937) 304-1216
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
TX
Other
Enumeration date
06/15/2020
Last updated
06/16/2020
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