MR. Gary Jonathan Self, RPH
NPI #1811228265 in Port Arthur, Texas
Provider Information
- NPI Number
- 1811228265
- Entity Type
- Individual
- Name
- MR. Gary Jonathan Self, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Jan 25, 2010
- Last Updated
- Jan 25, 2010
Practice Location
- Address
- 4800 HIGHWAY 365
- City
- Port Arthur
- State
- Texas
- ZIP Code
- 77642-7403
- Phone
- (409) 722-4066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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