Individual
MRS. CARLA SUE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1102 S BROADWAY ST, LA PORTE, TX 77571-5302
(281) 471-7282
(281) 471-1361
Mailing address
1102 S BROADWAY ST, LA PORTE, TX 77571-5302
(281) 471-7282
(281) 471-1361
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28602
TX
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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