Individual
SHANNA VOULGARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 S ADAMS ST, FREDERICKSBURG, TX 78624-4146
(830) 997-8809
Mailing address
407 S ADAMS ST, FREDERICKSBURG, TX 78624-4146
(830) 997-8809
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
300873
TX
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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