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Individual

JEHU TOMAS GRACIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
5817 PATTON ST # 100, CORPUS CHRISTI, TX 78414-2428
(361) 806-9100
Mailing address
5817 PATTON ST # 100, CORPUS CHRISTI, TX 78414-2428

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
64090
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
64090
TX
1835P2201X
Ambulatory Care Pharmacist
64090
TX

Other

Enumeration date
06/19/2021
Last updated
06/19/2021
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