A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
TX license #6034taxonomy 3336L0003X
Pharmacy
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
taxonomy 3336M0003X
Identifiers
Type
Value
Notes
01
2097616
PK
05 (TX)
137919003
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
TERRELL STATE HOSPITAL PHARMACY
Type code 3recorded 2023-11-17
TERRELL STATE HOSPITAL PHARMACY
Type code 3recorded 2016-08-22
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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