NPI age
7 years
Enumerated 2019-02-13
Across 5625 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 067BQLZF1 | HIN |
| 05 (TX) | 150033 | |
| 01 (TX) | 32593 | STATE PHARMACY LICENSE TX |
| 01 (PA) | NP001532 | NON-RESIDENT PHARMACY LICENSE |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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