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Individual

MR. DANIEL CORONADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
2227 PRIMWOOD CT, PEARLAND, TX 77584-9818
(713) 201-1082
Mailing address
2227 PRIMWOOD CT, PEARLAND, TX 77584-9818
(713) 201-1082

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31854
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31854
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
01/23/2023
Last updated
01/23/2023
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