An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
TX license #20355taxonomy 183500000X
Identifiers
Type
Value
Notes
05 (TX)
144960
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
food basket pharmacy #5
Type code 3recorded 2006-10-25
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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