Individual
AIVEE TABANGCORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 S LOOP 288, DENTON, TX 76205-4801
(940) 220-2123
Mailing address
1801 S LOOP 288, DENTON, TX 76205-4801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55403
TX
Other
Enumeration date
08/21/2014
Last updated
02/13/2016
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