Louis Booysen
Pharmacist in College Station, TX. Individual provider (NPI-1).
NPI number1750166419
StatusActive
Last updated in NPPESAug 30, 2023
Details
- NPI
- 1750166419
- Entity type
- Individual (NPI-1)
- Name
- Louis Booysen
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2023
- Certification date
- Aug 30, 2023
- Last updated
- Aug 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 72948 | TX | Yes |
Practice location
998 William D Fitch PkwyCollege Station, TX 77845-6452
Phone 979-690-0523
Mailing address
950 Town Lake Dr Apt 7307College Station, TX 77845-2254
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