NPI age
12 years
Enumerated 2014-04-02
Across 5625 active pharmacy providers in Texas.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 2145034 | PK |
| 01 (TX) | 28711 | TSBP LICENSE NUMBER |
Multi-provider organization. 6 individual providers on file at this primary address.
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