Delana Deneise Staten, RPH

NPI #1225181514 in Tyler, Texas

Provider Information

NPI Number: 1225181514
Entity Type: Individual
Name: Delana Deneise Staten, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jan 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 13321 FM 206 HWY 31 W
City: Tyler
State: Texas
ZIP Code: 75709
Phone: (903) 592-3487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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