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Mixlab Tx, LLC

Pharmacy in Weatherford, TX. Organization (NPI-2).

NPI number1245086552
StatusActive
Last updated in NPPESApr 26, 2024

Details

NPI
1245086552
Entity type
Organization (NPI-2)
Legal business name
Mixlab Tx, LLC
Organization subpart
Yes
Enumeration date
Apr 26, 2024
Certification date
Apr 26, 2024
Last updated
Apr 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy––Yes
3336C0004X Pharmacy, Compounding Pharmacy––

Practice location

953 Hilltop Dr
Weatherford, TX 76086-8811

Phone 888-901-4480

Mailing address

953 Hilltop Dr
Weatherford, TX 76086-8811

Phone 888-901-4480

Authorized official

Vinnei Dam
Chief Pharmacy Officer
3476109820

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