is a Compounding Pharmacy in Longview, Texas. practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for is 1629029236. The last update date is .
's current location address is Po Box 6238, Longview, Texas. You can contact this provider via phone number 9032972895 and fax number 9032972895. The mailing address for is Po Box 6238, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | Po Box 6238, Longview, Texas |
Phone Number | 9032972895 |
Fax Number | 9032972895 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1629029236 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | Po Box 6238 |
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City | Longview |
State | Texas (TX) |
Post Code | 756086238 |
Phone Number | 9032972895 |
Fax Number | 9032972895 |
Provider's Primary Taxonomy Detail
Speciality | Compounding Pharmacy |
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Taxonomy | 3336C0004X |
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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144270 | TX | -- |
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