Individual
DR. CEDRICK TSINDA KOUSOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
100 SW WILSHIRE BLVD, BURLESON, TX 76028-4712
(817) 295-1125
(817) 295-6610
Mailing address
100 SW WILSHIRE BLVD, BURLESON, TX 76028-4712
(817) 295-1125
(817) 295-6610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17452
AL
183500000X
Pharmacist
Primary
60303
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17452
ALABAMA BOARD OF PHARMACY
AL
01
—
60303
TEXAS BOARD OF PHARMACY
TX
Enumeration date
10/31/2022
Last updated
10/31/2022
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