NPI age
19 years
Enumerated 2006-11-15
Across 5625 active pharmacy providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 25127 | TX STATE BOARD OF PHARMACY LICENSE |
| 01 (TX) | PH0342 | MEDICARE IMMUNIZATION BILLING--TRAILBLAZER |
| 05 (TX) | 145708 | |
| 01 | 1285707752 | NPI |
| 01 (TX) | R0148456 | TX DPS |
| 01 | 4542608 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 3 individual providers on file at this primary address.
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