Individual
MRS. WENDY SUE WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHPT
Contact information
Practice address
201 US HWY 59, ATLANTA, TX 75551
(903) 796-8231
Mailing address
303 BIG LEAGUE BEND, OMAHA, TX 75571
(810) 730-1364
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
176632
TX
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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