Individual
BRANDON RILEY CARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1000 W FRANK AVE, LUFKIN, TX 75904-3370
(936) 634-7083
Mailing address
1000 W FRANK AVE, LUFKIN, TX 75904-3370
(936) 634-7083
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34452
TX
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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