NPI age
12 years
Enumerated 2013-08-21
Across 5625 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 469098 | |
| 01 (TX) | 28678 | TSBP |
| 01 (TX) | 5909607 | NCPDP |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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