Individual
DEBORA ANN CARLYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 N MAIN ST, TAYLOR, TX 76574-4975
(512) 352-6333
Mailing address
704 TRAILSIDE BND, ROUND ROCK, TX 78665-2115
(512) 587-4560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28169
TX
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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