Individual
MS. TELFIA YVETTE MUCKEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
32640
TX
1835P2201X
Ambulatory Care Pharmacist
Primary
32640
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150188
—
TX
05
—
32640
—
TX
Enumeration date
10/25/2017
Last updated
07/21/2023
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