Walters Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Bellville, TX. Organization (NPI-2).
NPI number1124176136
StatusActive
Last updated in NPPESNov 4, 2014
Details
- NPI
- 1124176136
- Entity type
- Organization (NPI-2)
- Legal business name
- Walters Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2007
- Last updated
- Nov 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 05941 | TX | Yes |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Walter'S Pharmacy, INC. (Doing Business As)
Practice location
250 W Palm StBellville, TX 77418-1361
Phone 979-865-3696 · Fax 979-865-3697
Mailing address
250 W Palm StBellville, TX 77418-1361
Phone 979-865-3696 · Fax 979-865-3697
Authorized official
Michael Koehn
Pic
9798653696
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