Individual
AUTUMN THERESA PRESTENBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 ROCK PRAIRIE RD, COLLEGE STATION, TX 77845-5949
(979) 696-1075
Mailing address
3406 JUDYTHE CT, BRYAN, TX 77803-0481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69087
TX
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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