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Organization
HOSPICE EL PASO
Active
Organization
HOSPICE EL PASO
Active
Other names
HOSPICE EL PASO
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BLACK PHARMD (EXECUTIVE DIRECTOR)
(915) 532-5699
Entity
Organization
Contact information
Practice address
1440 MIRACLE WAY, EL PASO, TX 79925-7102
(915) 532-5699
(915) 532-7822
Mailing address
1440 MIRACLE WAY, EL PASO, TX 79925-7102
(915) 532-5699
(915) 532-7822
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
15740
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00200200
—
TX
01
—
4592805
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/04/2008
Last updated
10/04/2010
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