Individual
BRENDA CU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5526 S CONGRESS AVE, AUSTIN, TX 78745-3106
(512) 462-3820
Mailing address
1860 DAPPLEGREY LN, AUSTIN, TX 78727-4546
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
63051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63051
—
TX
Enumeration date
06/16/2020
Last updated
06/16/2020
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