Individual
DR. DYLAN JAMES MCNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
100 W SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6100
(817) 421-6530
Mailing address
1415 AVENUE C, DENTON, TX 76205-6970
(956) 970-1768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
74279
TX
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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