NPI age
11 years
Enumerated 2014-07-03
Across 70 active military hospital providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 293178 | BCPS CERTIFICATION NUMBER |
| 01 (OH) | 03-1-14718 | STATE PHARMACIST LICENSE |
| 01 (TX) | 30673 | STATE PHARMACIST LICENSE |
Single-site organization. Only one practice location on file.
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