NPI age
21 years
Enumerated 2005-05-27
Across 2274 active pharmacy providers in Texas.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4503810 | NCPDP NUMBER |
| 05 (TX) | 141943 |
Multi-provider organization. 5 individual providers on file at this primary address.
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