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Individual

KYLE WEBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3880 PARKWOOD BLVD STE 602B, FRISCO, TX 75034-1931
(469) 777-4543
(459) 777-4693
Mailing address
3880 PARKWOOD BLVD STE 602B, FRISCO, TX 75034-1931
(469) 777-4543
(459) 777-4693

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
33735
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33735
TEXAS STATE BOARD OF PHARMACY LICENSE
TX
Enumeration date
04/23/2021
Last updated
04/18/2022
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