Susan Bacon, R.PH
NPI #1245350743 in Montgomery, Texas
Provider Information
- NPI Number
- 1245350743
- Entity Type
- Individual
- Name
- Susan Bacon, R.PH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- R.PH
- Enumeration Date
- Mar 29, 2007
- Last Updated
- May 2, 2012
Practice Location
- Address
- 18900 HWY 105W
- City
- Montgomery
- State
- Texas
- ZIP Code
- 77356
- Phone
- (936) 582-0002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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