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Individual

CHARLES PARKER DALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9722 FRY RD, CYPRESS, TX 77433-4847
(281) 373-2102
Mailing address
9722 FRY RD, CYPRESS, TX 77433-4847
(281) 373-2102

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
30032
TX
183700000X
Pharmacy Technician
Primary
TX

Other

Enumeration date
08/22/2022
Last updated
08/22/2022
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