DIVINE SANTOS-PEN

TEMPLE, TX
NPI1598357071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TX  66216)
Additional Taxonomies183500000X Pharmacist
(Licence: PA  RP446478)
Enumeration Date2021-02-06
Last Update Date2021-02-06
Business Address
DIVINE SANTOS-PEN PharmD
2674 S 31ST ST
TEMPLE, TX 76504-7104
Phone number: 254-773-9953
Mailing Address
DIVINE SANTOS-PEN PharmD
8025 STARZ LOOP
FORT HOOD, TX 76544-1793
Phone number: 267-432-5307