NPI age
20 years
Enumerated 2005-12-30
Across 2274 active pharmacy providers in Texas.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 465443 | |
| 01 (TX) | PH0436 | PROVIDER# |
| 01 (TX) | 4529799 | NCPDP |
Multi-provider organization. 6 individual providers on file at this primary address.
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