NPI age
8 years
Enumerated 2017-07-24
Across 2274 active pharmacy providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | PH0708 | MASS IMM |
| 01 (TX) | 5921918 | NCPDP |
| 01 (TX) | 1284731323 | MEDICARE B |
| 05 (TX) | 471210 |
Multi-provider organization. 1 individual provider on file at this primary address.
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