Individual
DR. JEAN DIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
800 E DAWSON ST, TMFHC C/O PHARMACY DEPARTMENT, TYLER, TX 75701-2036
(903) 593-1721
Mailing address
6011 AMELIA TERRACE CT, SUGAR LAND, TX 77479-5809
(346) 901-1502
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
57788
TX
1835P1200X
Pharmacotherapy Pharmacist
Primary
57788
TX
1835P2201X
Ambulatory Care Pharmacist
57788
TX
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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