Individual
DAVID RANDALL TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4909 JOHNSON RD, PHARMACIST, WICHITA FALLS, TX 76310-2547
(940) 687-8625
(940) 691-7574
Mailing address
4909 JOHNSON RD, PHARMACIST, WICHITA FALLS, TX 76310-2547
(940) 687-8625
(940) 691-7574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29109
TX
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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