John Ben Knudson
Pharmacy, Community/Retail Pharmacy in Comanche, TX. Organization (NPI-2).
NPI number1285738245
StatusActive
Last updated in NPPESNov 7, 2011
Details
- NPI
- 1285738245
- Entity type
- Organization (NPI-2)
- Legal business name
- John Ben Knudson
- Organization subpart
- No
- Enumeration date
- Sep 12, 2006
- Last updated
- Nov 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 03158 | TX | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Comanche Pharmacy (Doing Business As)
Practice location
1001 N Austin StComanche, TX 76442-1701
Phone 325-356-2585 · Fax 325-356-2585
Mailing address
1001 N Austin StComanche, TX 76442-1701
Phone 325-356-2585 · Fax 325-356-2585
Authorized official
John Knudson
Owner
3253562585
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