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Individual

EDMUND ROBERT HORTON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
2445 NORTHWEST LOOP, STEPHENVILLE, TX 76401-1704
(125) 496-8765
(125) 496-8036
Mailing address
2445 NORTHWEST LOOP, STEPHENVILLE, TX 76401-1705
(125) 496-8765
(125) 496-8036

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21004
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21004
PHARMACIST
TX
Enumeration date
05/11/2006
Last updated
07/08/2007
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