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Individual

AMY CORNWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM. D

Contact information

Practice address
1629 N TOWN EAST BLVD, MESQUITE, TX 75150-4105
(214) 302-2961
(214) 302-2971
Mailing address
1629 N TOWN EAST BLVD, MESQUITE, TX 75150-4105
(214) 302-2961
(214) 302-2971

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47306
TX

Other

Enumeration date
06/06/2011
Last updated
06/06/2011
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