Individual
CHRISTOPHER E VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 W I 30, GARLAND, TX 75043-5702
(972) 303-5414
Mailing address
555 W I 30, GARLAND, TX 75043-5702
(214) 303-5414
(214) 303-6785
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
38684
TX
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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