Individual
EDITH ACHEBODT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 AVENUE J STE 103B, ARLINGTON, TX 76006-5884
(972) 205-9898
(972) 205-9888
Mailing address
1708 TAMARACK DR, WYLIE, TX 75098-8176
(214) 223-5041
(972) 205-9888
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
46810
TX
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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