Raymond Purnomo

NPI #1780151894 in Denton, Texas

Provider Information

NPI Number
1780151894
Entity Type
Individual
Name
Raymond Purnomo
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Oct 26, 2018
Last Updated
Oct 26, 2018

Practice Location

Address
3305 S MAYHILL RD STE 101
City
Denton
State
Texas
ZIP Code
76208-6054
Phone
(940) 382-0079

Specialties & Taxonomy Codes

Specialty
Pharmacist

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