NPI age
19 years
Enumerated 2007-02-02
Across 5625 active pharmacy providers in Texas.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 149311602 | |
| 01 | 2097259 | PK |
| 05 (TX) | 465180 | |
| 05 (TX) | 149311601 | |
| 05 (TX) | 149311601/49311602 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 7 individual providers on file at this primary address.
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