NPI age
19 years
Enumerated 2006-08-03
Across 5625 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1429920-01 | |
| 01 (TX) | 4570859 | NABP |
| 05 (TX) | 1429920-02 | |
| 05 (TX) | 144312 |
Single-site organization. Only one practice location on file.
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