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Individual

DR. RODNEY LEE BRUMBELOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, RPH

Contact information

Practice address
1600 11TH ST, WICHITA FALLS, TX 76301-4300
(940) 764-3533
Mailing address
1 TWELVE OAKS CT, WICHITA FALLS, TX 76310-1467
(940) 232-6421

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
45000
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45000
TEXAS STATE BOARD OF PHARMACY LICENSE
TX
Enumeration date
04/07/2007
Last updated
05/18/2009
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