Individual
DR. AUTUMN ASPEN LEIGH WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2002 HOLCOMBE BLVD, C/O PHARMACY DEPT. (119), HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
2002 HOLCOMBE BLVD, C/O PHARMACY DEPT. (119), HOUSTON, TX 77030-4211
(713) 791-1414
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
46241
TX
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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