Individual
ARIEL POLO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
2962 S LONGHORN DR, LANCASTER, TX 75134-2118
(972) 358-1836
Mailing address
7910 SAINT FILLANS LN, ROWLETT, TX 75089-7859
(214) 502-5073
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
180784
TX
Other
Enumeration date
09/29/2020
Last updated
09/30/2020
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