LUCAS BOZICK

TYLER, TX
NPI1023655255
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: TX  50177)
Enumeration Date2019-12-06
Last Update Date2019-12-06
Business Address
LUCAS BOZICK
3828 TROUP HWY
TYLER, TX 75703-1726
Phone number: 903-581-9666
Mailing Address
LUCAS BOZICK
3828 TROUP HWY
TYLER, TX 75703-1726
Phone number: 903-581-9666