Individual
DAVID RONALD POLASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
515 N ESPLANADE, CUERO, TX 77954-0270
(361) 275-3332
(361) 275-3829
Mailing address
114 MAIN ST, CUERO, TX 77954-0270
(361) 275-3332
(361) 275-3829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19953
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143644
—
TX
Enumeration date
03/30/2010
Last updated
03/30/2010
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