Individual
ALPHA VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
(409) 983-1161
Mailing address
2548 MEMORIAL BLVD, PORT ARTHUR, TX 77640-2825
(409) 983-1161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
62300
TX
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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