Individual
BRYAN DIETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
675 E SUNSET BLVD, CELINA, TX 75009-4017
(972) 382-3989
Mailing address
675 E SUNSET BLVD, CELINA, TX 75009-4017
(972) 382-3989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
38050
TX
Other
Enumeration date
04/12/2020
Last updated
04/12/2020
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