Individual
BRANDY MIDURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
14981 OLD TRINITY ROAD, ONALASKA, TX 77360
(936) 646-2488
Mailing address
297 HARBOR DR, ONALASKA, TX 77360-7991
(409) 594-4952
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50168
TX
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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