An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
TX license #18224taxonomy 183500000X
Identifiers
Type
Value
Notes
05 (TX)
010729401
05 (TX)
067296601
01 (TX)
4567270
NABP
05 (TX)
016578901
05 (TN)
142614
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
dba Super Drug Mart #4
Type code 3recorded 2007-03-15
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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