NPI age
9 years
Enumerated 2016-07-26
Across 2274 active pharmacy providers in Texas.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 016719902 | |
| 05 (OK) | 100814040B | |
| 01 | 2162190 | PK |
| 05 (TX) | 148171 |
Multi-provider organization. 7 individual providers on file at this primary address.
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