Individual
ANDREA DAWN NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
5270 S STATE HIGHWAY 360, GRAND PRAIRIE, TX 75052-8307
(469) 348-2101
Mailing address
4110 GREENWOOD WAY, MANSFIELD, TX 76063-5562
(817) 453-0556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41408
TX
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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