Individual
CLARISSA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 OLD OMEN RD APT 7203, TYLER, TX 75707-2545
(361) 442-8878
Mailing address
1620 S BROADWAY AVE, TYLER, TX 75701-4260
(903) 533-0367
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
70395
TX
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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