RICKY EDWIN JACK

TEMPLE, TX
NPI1376697961
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: TX  TX23783)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
Mr. RICKY EDWIN JACK RPH
2601 THORNTON LN
TEMPLE, TX 76502-1808
Phone number: 254-742-1100
Mailing Address
Mr. RICKY EDWIN JACK RPH
8807 HAROLD CLARK RD
BARTLETT, TX 76511-4047
Phone number: 254-527-3467
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