Individual
DR. ANNETTE DELOVINO LISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(346) 238-8137
Mailing address
2013 HICKORY ST, HOUSTON, TX 77007-2942
(609) 457-2178
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
56709
TX
1835C0205X
Critical Care Pharmacist
RP449175
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56709
PHARMACIST LICENSE
TX
Enumeration date
04/22/2020
Last updated
04/22/2020
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