Mark Dezeeuw
Pharmacist in Duncanville, TX. Individual provider (NPI-1).
NPI number1881908176
StatusActive
Last updated in NPPESJul 29, 2010
Details
- NPI
- 1881908176
- Entity type
- Individual (NPI-1)
- Name
- Mark Dezeeuw
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2010
- Last updated
- Jul 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 24439 | TX | Yes |
Practice location
633 W Wheatland RdDuncanville, TX 75116-4517
Phone 972-780-1153 · Fax 972-298-0931
Mailing address
3663 Briarpark DrHouston, TX 77042-5205
Phone 713-268-3630 · Fax 623-869-3630
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All 18 Pharmacist providers in Duncanville · All 748 providers in Duncanville
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