Individual provider · Type 1 NPI

Raymond Purnomo

Pharmacist · Denton, TX

NPI number 1780151894 Active

Practice location

3305 S Mayhill Rd Ste 101
Denton, TX 76208-6054

Mailing address

3126 Impala Trl
Frisco, TX 75034-6219

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X45827 (TX)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1780151894

Raymond Purnomo's National Provider Identifier is 1780151894, issued on Oct 26, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Denton, TX. The record was last updated on Oct 26, 2018.