NPI age
19 years
Enumerated 2007-01-09
Across 126 active pharmacy providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 4588919 | NABP OR NCPDP |
| 01 | 750126 | BC-BS OF TX - IV PROVIDER |
Multi-provider organization. 1 individual provider on file at this primary address.
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