Individual
DESMON INOCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 INDIAN HEALTH RD, PINE RIDGE, SD 57770-3169
(605) 867-5131
Mailing address
PO BOX 2213, LYTLE, TX 78052-2213
(210) 527-7334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44249
TX
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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