Individual
MR. KENNETH RUSH PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
101 BARCLAY AVE, #5, WHARTON, TX 77488-2860
(832) 457-1261
Mailing address
101 BARCLAY AVE, #5, WHARTON, TX 77488-2860
(832) 457-1261
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
184434
TX
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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