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1255077293
ANDREA POLK
IRVING, TX
NPI
1255077293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3336C0002X Pharmacy, Clinic Pharmacy
(Licence: TX 1124201215)
Enumeration Date
2022-05-11
Last Update Date
2022-05-11
Business Address
ANDREA POLK Cpht
2001 W JOHN CARPENTER FWY
IRVING, TX 75063-3255
Phone number: 800-379-0092
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Mailing Address
ANDREA POLK Cpht
642 ST CHARLES CT
ARLINGTON, TX 76013-1370
Phone number: 469-401-0080
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