Individual
EDU DIVINE MEDUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
725 HEBRON PKWY, LEWISVILLE, TX 75057-5001
(972) 459-5906
Mailing address
725 HEBRON PKWY, LEWISVILLE, TX 75057-5001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53451
TX
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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