Individual
ASAL MIR BOLOUKI SABET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 S STAPLES ST, CORPUS CHRISTI, TX 78411-5500
(361) 994-9015
Mailing address
4109 S STAPLES ST, CORPUS CHRISTI, TX 78411-5500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71415
TX
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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