Individual
EBENEZER SEMERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 N VIRGINIA ST, PORT LAVACA, TX 77979-2509
(361) 552-7451
Mailing address
1302 N VIRGINIA ST, PORT LAVACA, TX 77979-2509
(361) 552-7451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71260
TX
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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