NPI age
19 years
Enumerated 2006-10-03
Across 5625 active pharmacy providers in Texas.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 16371 | STATE PHARMACY LICENSE |
| 01 | 4593744 | NABP |
| 05 (TX) | 144202-9 |
Multi-provider organization. 2 individual providers on file at this primary address.
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