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Individual

DIVINE SANTOS-PEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2674 S 31ST ST, TEMPLE, TX 76504-7104
(254) 773-9953
Mailing address
8025 STARZ LOOP, FORT HOOD, TX 76544-1793
(267) 432-5307

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
66216
TX
183500000X
Pharmacist
RP446478
PA

Other

Enumeration date
02/06/2021
Last updated
02/06/2021
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