Latrevion Carter

NPI #1053096016 in Longview, Texas

Provider Information

NPI Number
1053096016
Entity Type
Individual
Name
Latrevion Carter
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jun 19, 2023
Last Updated
Jun 19, 2023

Practice Location

Address
3301 4TH ST
State
Texas
ZIP Code
75605-7959
Phone
(903) 663-4362

Specialties & Taxonomy Codes

Specialty
Pharmacist

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