Raymond Purnomo
Raymond Purnomo is a Pharmacist in Denton, Texas. Licensed in Texas. Registered with an NPI since 2018.
- Licensed in
- TX
- In the registry since
- 2018
Practice location Address checks out
3305 S Mayhill Rd Ste 101Denton, TX 76208-6054
Phone: (940) 382-0079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 45827 (TX) |
|---|
Record details
| NPI number | 1780151894 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 26, 2018 |
| Last updated in NPPES | October 26, 2018 |
| Mailing address | 3126 Impala Trl, Frisco, TX 75034-6219 |
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