NPI age
19 years
Enumerated 2006-09-12
Across 2274 active pharmacy providers in Texas.
8 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 000462606 | |
| 01 | 4569680 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 8 individual providers on file at this primary address.
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