NPI age
19 years
Enumerated 2006-07-08
Across 589 active pharmacy providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (NM) | 66779871 | |
| 01 (NM) | PH00004000 | BOARD OF PHARMACY |
| 01 (TX) | 19294 | BOARD OF PHARMACY |
| 05 (TX) | 350131 | |
| 01 (NM) | CS00222097 | CONTROLLED SUBSTANCE |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Pharmerica Corporation.
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