Basic Information
| Provider Information | |||||||||
| NPI: | 1205901139 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUNTER | ||||||||
| FirstName: | DEBRA | ||||||||
| MiddleName: | MICHELLE | ||||||||
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| Credential: | RPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4304 SKYLINE DR | ||||||||
| Address2: | |||||||||
| City: | MIDLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 797073636 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4326893839 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 301 NORTH 'N' ST | ||||||||
| Address2: | |||||||||
| City: | MIDLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 79701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4326880822 | ||||||||
| FaxNumber: | 4326870268 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/24/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835X0200X | 33038 | TX | Y | Pharmacy Service Providers | Pharmacist | Oncology |
No ID Information.