Individual
DR. COURTNEY AYANA ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
306 HUISACHE ST, LAKE JACKSON, TX 77566-4205
(972) 639-7444
Mailing address
306 HUISACHE ST, LAKE JACKSON, TX 77566-4205
(972) 639-7444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
74907
TX
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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