Most Relevant Information
Provider Data
| NPI Number: | 1003127440 |
| Provider Name: | JACK L COUNCIL RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 042262 |
Most Important Dates
| Enumeration Date: | 06/30/2010 |
| Last Updated: | 06/30/2010 |
Provider Practice Location
2301 N SHARY RD
WALGREENS PHARMACY
MISSION
TX
785743241
Practice Location Phone/Fax
| Phone: | 9565857743 |
| Fax: | 9565845759 |
Provider Mailing Location
2301 N SHARY RD
WALGREENS PHARMACY
MISSION
TX
785743241
Provider Mailing Phone/Fax
| Phone: | 9565857743 |
| Fax: | 9565845759 |