Individual
AVIS LYNN JALUFKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1157 TULLEY RD, CUERO, TX 77954-5129
(361) 649-1306
Mailing address
1157 TULLEY RD, CUERO, TX 77954-5129
(361) 649-1306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39003
TX
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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