Individual
DR. EDDY AIRIOHUODION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 E BROAD ST, MANSFIELD, TX 76063-5899
(816) 799-6951
Mailing address
2700 E BROAD ST, MANSFIELD, TX 76063-5899
(816) 799-6951
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
62650
TX
1835P1200X
Pharmacotherapy Pharmacist
62650
TX
Other
Enumeration date
04/24/2018
Last updated
04/04/2025
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