Individual
AUTUMN KIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W MAIN ST, LEWISVILLE, TX 75067-3556
(972) 221-1150
(972) 221-0845
Mailing address
801 W MAIN ST, LEWISVILLE, TX 75067-3556
(972) 221-1150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34012
TX
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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