Individual
DETRA A SCHEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2935 RIDGE RD, ROCKWALL, TX 75032-5804
(214) 882-1266
Mailing address
2935 RIDGE RD, ROCKWALL, TX 75032-5804
(214) 882-1266
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
447560
NABP
TX
Enumeration date
10/19/2020
Last updated
10/19/2020
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