NPI age
19 years
Enumerated 2006-09-30
Across 5625 active pharmacy providers in Texas.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 110233 | |
| 01 (TX) | H0009560 | DEPT OF PUBLIC SAFETY REG |
| 01 (TX) | 01819 | TX STATE BOARD LISCENSE |
Multi-provider organization. 3 individual providers on file at this primary address.
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