Individual
DANA M HADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
109 W LAFAYETTE ST, JEFFERSON, TX 75657-2205
(903) 665-2521
(903) 665-7422
Mailing address
109 W LAFAYETTE ST, JEFFERSON, TX 75657-2205
(903) 665-2521
(903) 665-7422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24764
TX
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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