Individual
CAROLYN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 778-4811
Mailing address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 778-4811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18724
AL
183500000X
Pharmacist
Primary
25287
NC
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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