NPI age
19 years
Enumerated 2007-05-17
Across 5625 active pharmacy providers in Texas.
12 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 2100162 | PK |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 12 individual providers on file at this primary address.
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