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Individual

BRIAN ALEXANDER ANTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
100 PEPLOW DR, ROBINSON, TX 76706-5326
(254) 662-6403
Mailing address
100 PEPLOW DR, ROBINSON, TX 76706-5326
(254) 662-6403

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69110
TX

Other

Enumeration date
08/13/2021
Last updated
08/13/2021
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