NPI age
19 years
Enumerated 2006-07-22
Across 144 active pharmacy providers in Texas.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 145614 | |
| 01 | 4539980 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Multi-provider organization. 6 individual providers on file at this primary address.
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