Individual
LORI MARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6818 S ZARZAMORA ST, SAN ANTONIO, TX 78224-1136
(210) 927-4596
Mailing address
PO BOX 234, VON ORMY, TX 78073-0234
(210) 771-0178
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
147809
TX
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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