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Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Active
Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Active
Other names
AMARILLO PHARMACEUTICAL CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE M KUO (DEAN TX TECH SCHOOL OF PHCY)
(806) 414-4000
Entity
Organization
Contact information
Practice address
1400 S COULTER ST STE 1100, AMARILLO, TX 79106-1786
(806) 414-9390
(806) 356-4625
Mailing address
1400 S COULTER ST STE 1100, AMARILLO, TX 79106-1786
(806) 414-9390
(806) 356-4625
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
Primary
21368
TX
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145191
—
TX
01
—
2097324
PK
—
Enumeration date
06/18/2006
Last updated
09/12/2022
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