NPI age
21 years
Enumerated 2005-05-23
Across 5625 active pharmacy providers in Texas.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100850770C | |
| 05 (TX) | 133336107 | |
| 05 (NM) | 46859845 | |
| 05 (TX) | 144465 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 20 individual providers on file at this primary address.
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