Individual
CATLIN LEE GRISHAM-TAKAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1210 W BRAKER LN, AUSTIN, TX 78758-3801
(512) 978-9300
(512) 279-2556
Mailing address
9600 GOLF LAKES TRL, APT #1004, DALLAS, TX 75231-5029
(979) 450-1983
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
56848
TX
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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