NPI 1003572330

Philliscita Petty

Practitioner Pharmacy Technician Corinth, TX

Practice location

Address: 1101 Fm 2181, Corinth, TX 76210-2136
Phone: (940) 497-1105

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 570107010254596 (CA)

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Registry record

NPI: 1003572330
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2021
Record last updated: 12 Nov 2021

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.