Epoch Pharmacy Solutions II LLC
Pharmacy, Community/Retail Pharmacy in Port Lavaca, TX. Organization (NPI-2).
NPI number1154607331
StatusActive
Last updated in NPPESFeb 16, 2016
Details
- NPI
- 1154607331
- Entity type
- Organization (NPI-2)
- Legal business name
- Epoch Pharmacy Solutions II LLC
- Organization subpart
- No
- Enumeration date
- Nov 1, 2011
- Last updated
- Feb 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 27709 | TX | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Medicine Man Pharmacy-Port Lavaca (Doing Business As)
Practice location
1202 N Virginia StPort Lavaca, TX 77979-2507
Phone 361-482-0345 · Fax 361-482-0348
Mailing address
Po Box 3670Victoria, TX 77903-3670
Phone 361-894-6430 · Fax 361-894-6431
Authorized official
Bruce Rogers
Owner
3618946430
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