Individual
OMAR CARRIZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 W HENDERSON ST, CLEBURNE, TX 76033-4830
(817) 641-4036
Mailing address
600 W HENDERSON ST, CLEBURNE, TX 76033-4830
(817) 641-4036
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
140434
TX
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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