Individual
CHANDRA RENEE VANVACTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
709 WW RAY CIR, BRIDGEPORT, TX 76426-5023
(940) 683-2950
(940) 683-8059
Mailing address
675 FM 3264, SUNSET, TX 76270-2332
(940) 683-2449
(940) 683-8059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40964
RPH
TX
Enumeration date
08/18/2006
Last updated
06/22/2016
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