Treadway, Mary Jo

Treadway, Mary Jo is an individual health care provider with primary practice located at 313 N Denton Tap Rd , Coppell TX 75019-2914. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Treadway, Mary Jo can be contacted via phone (972) 393-9848.

Contact Information

Primary practice address
313 N Denton Tap Rd Coppell TX 75019-2914
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 23046 Texas

Profile Details

NPI number 1619204369
LBN Legal business name Treadway, Mary Jo
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2009
Last updated Nov 17th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619204369 NPPES
Texas Other 23046 PHARMACIST LICENSE NO

Popular Providers