NPI age
20 years
Enumerated 2005-06-08
Across 5625 active pharmacy providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (AK) | 1578774 | |
| 05 (ME) | 1962406850 | |
| 05 (ID) | 1962406850 | |
| 05 (TN) | 1962406850 | |
| 05 (OK) | 200096950A | |
| 05 (IL) | 73169880001 | |
| 01 | 2097210 | PK |
| 05 (SC) | 7T4102 | |
| 05 (OH) | 0160873 | |
| 05 (ME) | 131430006 | |
| 05 (TX) | 148018 | |
| 05 (KY) | 7100232400 | |
| 05 (WY) | WY0122 | |
| 05 (GA) | 003136712A | |
| 05 (NV) | 10100264788-00 | |
| 05 (AR) | 192697407 | |
| 05 (NH) | 3094450 | |
| 05 (WA) | 6029680 |
Multi-provider organization. 1 individual provider on file at this primary address.
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