Individual
TEA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
20842 US HIGHWAY 59, NEW CANEY, TX 77357-8276
(281) 747-7774
Mailing address
20842 US HIGHWAY 59, NEW CANEY, TX 77357-8276
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
280696
TX
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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