Individual
BRENT HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1424 W BASELINE RD, TEMPE, AZ 85283-1118
(480) 897-9774
Mailing address
1424 W BASELINE RD, TEMPE, AZ 85283-1118
(480) 897-9774
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020598
AZ
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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