Individual
DR. DEDE FOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13517 RED EGRET DR, AUSTIN, TX 78729-8098
(864) 640-7864
Mailing address
13517 RED EGRET DR, AUSTIN, TX 78729-8098
(864) 640-7864
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60133
TX
Other
Enumeration date
09/25/2018
Last updated
05/27/2021
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