NPI 1003127440

Jack L Council, RPH

Practitioner Pharmacist Mission, TX

Practice location

Address: 2301 N Shary Rd Walgreens Pharmacy, Mission, TX 78574-3241
Phone: (956) 585-7743
Fax: (956) 584-5759

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 042262 (TX)

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Registry record

NPI: 1003127440
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2010
Record last updated: 30 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.