Individual
AVERY RAE QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3002 S 31ST ST, TEMPLE, TX 76502-1802
(254) 773-2177
Mailing address
8024 HAWTHORN, TEMPLE, TX 76502-5592
(210) 445-1422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39242
TX
Other
Enumeration date
06/01/2023
Last updated
07/24/2023
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