NPI age
19 years
Enumerated 2007-05-22
Across 5625 active pharmacy providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4544931 | NCPDP |
| 01 (TX) | DO151961 | TEXAS CONTROLLED SUBSTANC |
| 01 (TX) | 25541 | TEXAS STATE BOARD OF PHA |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Subpart of Mom'S Pharmacies Inc.
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