Individual
PANIDA ELIZABETH VON MERVELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTH
Contact information
Practice address
700 N DENTON TAP RD, COPPELL, TX 75019-2162
(469) 322-6815
(469) 322-6816
Mailing address
700 N DENTON TAP RD, COPPELL, TX 75019-2162
(469) 322-6815
(469) 322-6816
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
246619
TX
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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