NPI age
4 years
Enumerated 2021-08-25
Across 5625 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 150543 | |
| 01 (TX) | 803508518 | FILE NUMBER FOR CERTIFICATE OF FILING WITH SECRETARY OF STATE IN TEXAS |
Single-site organization. Only one practice location on file.
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