Dekalb Pharmacy LLC
Pharmacy in De Kalb, TX. Organization (NPI-2).
NPI number1427052000
StatusActive
Last updated in NPPESAug 30, 2017
Details
- NPI
- 1427052000
- Entity type
- Organization (NPI-2)
- Legal business name
- Dekalb Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2005
- Last updated
- Aug 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 23839 | TX | Yes |
Other names
- De Kalb Pharmacy (Doing Business As)
Practice location
120 W Front StDe Kalb, TX 75559-1308
Phone 903-667-0880 · Fax 309-667-0909
Mailing address
120 W Front StDe Kalb, TX 75559-1308
Phone 903-667-0880 · Fax 309-667-0909
Authorized official
Janet J. Tidwell
Co-Owner
9036670880
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