A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
TX license #16368taxonomy 3336C0004X
Identifiers
Type
Value
Notes
05 (TX)
4510512
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Super Vallue Pharmacy
Type code 3recorded 2007-03-06
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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