Individual
MR. BRENTON DAVE HORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 MARKETPLACE DR, GARLAND, TX 75041-5605
(972) 279-8728
Mailing address
2716 ENID DR, PLANO, TX 75093-1909
(214) 729-8967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12621
OK
183500000X
Pharmacist
Primary
38462
TX
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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