Individual
DAVID TETREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4520 W 7TH ST, WAKE VILLAGE, TX 75501-6354
(903) 838-7539
Mailing address
4520 W 7TH ST, WAKE VILLAGE, TX 75501-6354
(903) 838-7539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48450
TX
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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