NPI 1316105026

Stephen a Branch, RPH

Practitioner Pharmacist Port Lavaca, TX

Practice location

Address: 1202 N Virginia St, Port Lavaca, TX 77979-2507
Phone: (361) 552-2999
Fax: (361) 552-1566

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 27381 (TX)

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Registry record

NPI: 1316105026
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 May 2008
Record last updated: 29 May 2008

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.