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Individual

CAROL KAITHAMATTATHIL BABY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67041
TX

Other

Enumeration date
07/31/2020
Last updated
07/31/2020
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