MR. Ricky Edwin Jack, RPH

NPI #1376697961 in Temple, Texas

Provider Information

NPI Number
1376697961
Entity Type
Individual
Name
MR. Ricky Edwin Jack, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Jan 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2601 THORNTON LN
City
Temple
State
Texas
ZIP Code
76502-1808
Phone
(254) 742-1100

Specialties & Taxonomy Codes

Specialty
Pharmacist

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