NPI age
17 years
Enumerated 2008-12-11
Across 5625 active pharmacy providers in Texas.
19 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 468854 | |
| 01 | 4550643 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 19 individual providers on file at this primary address.
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