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Individual

MR. DONALD WAYNE KOCIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
4001 HIGHWAY 36 S, BRENHAM, TX 77833-9610
(979) 277-1375
(979) 277-1350
Mailing address
2502 VALLEY DR, BRENHAM, TX 77833-5540
(979) 836-9586

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21790
TX

Other

Enumeration date
01/05/2007
Last updated
07/08/2007
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