NPI age
14 years
Enumerated 2011-07-13
Across 5625 active pharmacy providers in Texas.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 146427 | |
| 01 | 2131104 | PK |
Multi-provider organization. 4 individual providers on file at this primary address.
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