Individual
KASEY LEGGETTE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4110 GUADALUPE ST, AUSTIN, TX 78751-4223
(512) 419-2759
(512) 419-2788
Mailing address
4110 GUADALUPE ST, AUSTIN, TX 78751-4223
(512) 419-2759
(512) 419-2788
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
51423
TX
1835P1300X
Psychiatric Pharmacist
Primary
51423
TX
Other
Enumeration date
06/29/2012
Last updated
12/07/2015
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