Individual
DESTINEE AMBER PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9414 N. LAMAR BLVD, AUSTIN, TX 78753
(512) 837-9580
Mailing address
1900 SCOFIELD RIDGE PKWY APT 1301, AUSTIN, TX 78727-1605
(915) 238-5572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
74400
TX
183700000X
Pharmacy Technician
41031
TX
Other
Enumeration date
06/27/2024
Last updated
08/02/2024
About Stedi
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