Individual
MRS. DEIDRE D. KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 WEST FRANK AVE, LUFKIN, TX 75904
(936) 633-2735
Mailing address
103 WEBER, DIBOLL, TX 75941
(936) 633-2735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31450
RPH
TX
Enumeration date
07/24/2006
Last updated
07/08/2007
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