NPI age
19 years
Enumerated 2007-02-22
Across 2274 active pharmacy providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 145386201 | |
| 05 (TX) | 011056101 | |
| 05 (TX) | 143040 |
Multi-provider organization. 1 individual provider on file at this primary address.
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