Raymond Purnomo

NPI 1780151894 · on the registry since 2018

Practice

Address: 3305 S Mayhill Rd Ste 101
Denton, TX 76208
Phone: (940) 382-0079
Organisation at this address: David Spradlin
Addis Pharmacy Inc
Blue Dragon Rogues, Inc
Maxus Healthcare Partners Llc
Dfw Ultimate Healthcare, Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-10-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas