Houston, Theodore Roosevelt

Houston, Theodore Roosevelt is an individual health care provider with primary practice located at 855 W Tennessee St Thagard Health Center, Florida State University, Tallahassee FL 32304-7834. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Houston, Theodore Roosevelt can be contacted via phone (850) 644-1015.

Contact Information

Primary practice address
855 W Tennessee St Thagard Health Center, Florida State University Tallahassee FL 32304-7834
Phone: (850) 644-1015
Fax: (850) 654-5570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12648 Florida

Profile Details

NPI number 1174509913
LBN Legal business name Houston, Theodore Roosevelt
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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