Individual
VIRGINIA T SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPHT
Contact information
Practice address
14501 RANCH ROAD 12, WIMBERLEY, TX 78676-6215
(512) 847-3048
Mailing address
14501 RANCH ROAD 12, WIMBERLEY, TX 78676-6215
(512) 847-3048
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
100521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100521
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
04/19/2021
Last updated
04/19/2021
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