Individual
ALEXANDRIA SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 E BROAD ST, MINEOLA, TX 75773-2102
(903) 569-5343
Mailing address
2310 HAVERHILL DR APT 613, TYLER, TX 75707-4521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67517
TX
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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