Individual
MR. EDGARDO NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
300 W ROSEDALE ST, FORT WORTH, TX 76104-4856
(817) 335-2202
(817) 882-6583
Mailing address
8005 MORNING LN, FORT WORTH, TX 76123-1924
(817) 346-1276
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26853
TX
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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