Individual
MR. JUSTIN WYATT MALBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
10111 RICHMOND AVE, HOUSTON, TX 77042-4215
(171) 358-1708
(713) 953-1925
Mailing address
10111 RICHMOND AVE., HOUSTON, TX 77042
(171) 358-1708
(713) 953-1925
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
181049
TX
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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