Individual
DR. BRIAN DALE NIBBELINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
WILFORD HALL LOOP, JBSA LACKLAND, SAN ANTONIO, TX 78236
(605) 212-5606
Mailing address
13102 CADENZA CRK, SAN ANTONIO, TX 78252-1805
(605) 212-5606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
68746
TX
Other
Enumeration date
03/02/2021
Last updated
10/20/2022
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