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1992816987
EDGARDO NIEVES
FORT WORTH, TX
NPI
1992816987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 26853)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mr. EDGARDO NIEVES rph
300 W ROSEDALE ST
FORT WORTH, TX 76104-4856
Phone number: 817-335-2202
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Mailing Address
Mr. EDGARDO NIEVES rph
8005 MORNING LN
FORT WORTH, TX 76123-1924
Phone number: 817-346-1276
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