NPI age
20 years
Enumerated 2005-10-26
Across 5625 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 143912 | |
| 01 (TX) | 4588010 | NABP NCPDP |
| 05 (TX) | 03780893 | |
| 01 (TX) | 15324 | PHARMACY LICENSE |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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