NPI age
14 years
Enumerated 2012-02-02
Across 2274 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 469320 | |
| 05 (TX) | 466816 | |
| 01 | 5905584 | NCPDP |
| 05 (OK) | 100230880D |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Subpart of Walgreens Boots Alliance.
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