NPI age
11 years
Enumerated 2014-07-15
Across 5625 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 469633 | |
| 01 (TX) | 29294 | TEXAS STATE BOARD OF PHARMACY |
| 01 (TX) | 5912387 | NCPDP |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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