Individual
MR. AVERY KIRK WINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R PH
Contact information
Practice address
200 N MAIN, WEST, TX 76691
(254) 826-5122
(254) 826-3768
Mailing address
200 N MAIN, WEST, TX 76691
(254) 826-5122
(254) 826-3768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22393
TX
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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