Dr. Willie Bobby Payne Jr., PharmD
Pharmacist in Irving, TX. Individual provider (NPI-1).
NPI number1013550656
StatusActive
Last updated in NPPESApr 29, 2023
Details
- NPI
- 1013550656
- Entity type
- Individual (NPI-1)
- Name
- Dr. Willie Bobby Payne Jr.
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2019
- Certification date
- Apr 29, 2023
- Last updated
- Apr 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 49083 | TX | Yes |
Practice location
2001 W John Carpenter FwyIrving, TX 75063-3255
Phone 800-379-0092
Mailing address
11450 Us Hwy 380 Ste 130 #222Crossroads, TX 76227-8322
Phone 800-379-0092
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