Individual
MISS CHRISTINA MARIE MOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11810 RR 620 N, AUSTIN, TX 78750-1347
(512) 258-2459
Mailing address
6406 MAUNA KEA DR, AUSTIN, TX 78746-7146
(512) 696-6565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69189
LICENSE
TX
Enumeration date
01/23/2023
Last updated
01/23/2023
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