NPI age
19 years
Enumerated 2007-03-22
Across 2274 active pharmacy providers in Texas.
8 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 25118 | BOARD OF PHARMACY LICENSE |
| 01 (TX) | W0147476 | TEXAS CONTROLLED SUBSTANC |
Multi-provider organization. 8 individual providers on file at this primary address.
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