NPI age
19 years
Enumerated 2007-05-16
Across 5625 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 156352001 | |
| 01 (TX) | 4533180 | NABP |
| 05 (TX) | 156352002 | |
| 01 (TX) | 22986 | STATE LICENSE |
Single-site organization. Only one practice location on file.
Subpart of De Larosa Pharmacy Inc.
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