Individual provider · Type 1 NPI

Gary Jonathan Self, RPH

Pharmacist · Port Arthur, TX

NPI number 1811228265 Active

Practice location

4800 Highway 365
Port Arthur, TX 77642-7403

Fax (409) 722-4588

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	23362 (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…

3 other providers at this address

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About NPI 1811228265

Gary Jonathan Self, RPH's National Provider Identifier is 1811228265, issued on Jan 25, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Port Arthur, TX. The record was last updated on Jan 25, 2010.