NPI age
19 years
Enumerated 2006-11-01
Across 18509 active pharmacist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 420985270 | FEDERAL ID ASSOC. MEDICAI |
| 05 (IA) | 0015131 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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