Individual
KAITLIN K BEETTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11675 WELLBORN RD, COLLEGE STATION, TX 77845
(979) 485-8111
Mailing address
256 EDEN RANCH DR, CANYON LAKE, TX 78133-5410
(979) 732-4320
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
43065
TX
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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