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Individual

DR. JACK LEMLEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
811 N KINGS HWY, WAKE VILLAGE, TX 75501-5700
(833) 569-1005
Mailing address
811 N KINGS HWY, WAKE VILLAGE, TX 75501-5700
(833) 569-1005

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
53333
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53333
PHARMACIST PERMIT
TX
Enumeration date
03/15/2021
Last updated
03/15/2021
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