Individual
EDWIN J HAIDUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
403 S COLORADO ST, LOCKHART, TX 78644-2702
(512) 398-6797
(512) 398-6998
Mailing address
1091 FOX LN, LOCKHART, TX 78644-4274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17658
TX
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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