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Individual

CARRIE JO CHENNAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
300 W KEARNEY ST, MESQUITE, TX 75149-3438
(972) 882-7125
(972) 882-7126
Mailing address
300 W KEARNEY ST, MESQUITE, TX 75149-3438
(972) 882-7125

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46577
TX

Other

Enumeration date
07/25/2019
Last updated
07/25/2019
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