NPI age
20 years
Enumerated 2006-02-09
Across 2274 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 13048 | TEXAS PHARMACY LICENSE |
| 05 (KY) | 5403049900 | |
| 01 (TX) | 83114 | MEDICAL DEVICE DISTRIBUTI |
| 01 (CA) | NRP57 | NON RESIDENT |
| 05 (KY) | 9000358300 | |
| 05 (TX) | 108484001 | |
| 01 (TX) | 4578235 | NCPDP |
| 01 (TX) | W0070866 | CONTROLLED SUBSTANCE |
Single-site organization. Only one practice location on file.
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