Individual
CONSTANCE ROUBIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4268 LEGACY DR, WAL-MART 5986, FRISCO, TX 75034-0812
(972) 624-6002
Mailing address
4268 LEGACY DR, WAL-MART 5986, FRISCO, TX 75034-0812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41108
TX
Other
Enumeration date
07/06/2011
Last updated
10/30/2012
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