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Individual

RENCY SAMUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2525 W INTERSTATE 20, GRAND PRAIRIE, TX 75052-3929
(972) 988-1366
(972) 988-6641
Mailing address
2525 W INTERSTATE 20, GRAND PRAIRIE, TX 75052-3929
(972) 988-1366
(972) 988-6641

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
41748
TX

Other

Enumeration date
10/28/2020
Last updated
10/28/2020
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