M.P. SOUTHPARK, LLC
Suppliers at 29, San Angelo, TX

License number
Texas 31522
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: MICAH PRATT RPH
Title: OWNER
Phone: (806) 548-0590
Address
Address
29Th St S CHADB0URNE, San Angelo, TX 76903
National Provider ID: 1427081447
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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