Providerx Of Midland Llc

NPI 1093870719 - Pharmacy - 3336C0003X

NPI Details
NPI 1093870719
Enumeration Date 12/22/2006
Last Updated 07/02/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TERRY TERRY
Position GENERAL MANAGER
Phone (432) 689-3355
Fax (432) 699-6071
Practice Location
2208 N LOOP 250 W
STE 101
MIDLAND TX, 79707-6011, US
Phone (432) 689-3355
Fax (432) 699-6071
Business Location
PO BOX 878
GRAPEVINE TX, 76099-0878, US
Phone (817) 778-8767
Fax (866) 377-8125
Toxanomy
Taxonomy Code 3336C0003X
License State
License Number
Remove 1093870719 NPI Number
 

According to our database, Providerx Of Midland Llc NPI is 1093870719, taxonomy code is 3336C0003X Providerx Of Midland Llc physically located at 2208 N Loop 250 W, Midland TX, 79707-6011. NPI Number 1033115704 has the healthcare provider type.

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1093870719 NPI number is provided on an as is basis without warranty of any kind. 1093870719 is maintained by the National Plan & Provider Enumeration System. The contents of Providerx Of Midland Llc are for informational purposes only.