Individual
KRISTINA SUCIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
600 W CARRIE MANOR ST, MANOR, TX 78653-5035
(512) 978-9780
(512) 901-9770
Mailing address
600 W CARRIE MANOR ST, MANOR, TX 78653-5035
(512) 978-9780
(512) 901-9770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
22587
NC
1835P1200X
Pharmacotherapy Pharmacist
Primary
54964
TX
Other
Enumeration date
06/27/2013
Last updated
02/08/2016
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