NPI age
19 years
Enumerated 2006-10-04
Across 5625 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 107738001 | CCP NHIC |
| 01 (TX) | 502777 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 015577201 |
Single-site organization. Only one practice location on file.
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