Individual
ESMERALDA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 SHERWOOD WAY, SAN ANGELO, TX 76901-3528
(325) 942-0454
Mailing address
3301 SHERWOOD WAY, SAN ANGELO, TX 76901-3528
(325) 942-0454
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
TX
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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