Individual
CARISSA A SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3004 NORTH ST, NACOGDOCHES, TX 75965-2858
(936) 569-0183
Mailing address
3004 NORTH ST, NACOGDOCHES, TX 75965-2858
(936) 569-0183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65941
TX
183500000X
Pharmacist
PST.022679
LA
Other
Enumeration date
09/02/2018
Last updated
12/26/2022
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