Michael Prater

NPI #1740619923 in Randolph Afb, Texas

Provider Information

NPI Number
1740619923
Entity Type
Individual
Name
Michael Prater
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Nov 7, 2013
Last Updated
Nov 7, 2013

Practice Location

Address
221 3RD ST W
Address 2
BLDG 1040 RM 1D201
State
Texas
ZIP Code
78150-4800
Phone
(210) 652-6741

Specialties & Taxonomy Codes

Specialty
Pharmacist

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