MR. Roger Dale Houston

NPI #1962782201 in Lithia, Florida

Provider Information

NPI Number: 1962782201
Entity Type: Individual
Name: MR. Roger Dale Houston
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 18, 2011
Last Updated: Aug 18, 2011

Practice Location

Address: 6112 GANNETWOORD PLACE
City: Lithia
State: Florida
ZIP Code: 33547
Phone: (813) 385-0155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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