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1376697961
RICKY EDWIN JACK
TEMPLE, TX
NPI
1376697961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TX TX23783)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Mr. RICKY EDWIN JACK RPH
2601 THORNTON LN
TEMPLE, TX 76502-1808
Phone number: 254-742-1100
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Mailing Address
Mr. RICKY EDWIN JACK RPH
8807 HAROLD CLARK RD
BARTLETT, TX 76511-4047
Phone number: 254-527-3467
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