NPI age
20 years
Enumerated 2006-05-08
Across 2274 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4595130 | NCPDP |
| 05 (TX) | 250405 | |
| 05 (CO) | 9000192330 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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