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Organization
WILLIAM L BRYSON INC
Active
Organization
WILLIAM L BRYSON INC
Active
Other names
Blackmon Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LUTHER BRYSON RPH (SOLE OFFICER)
(903) 427-2805
Entity
Organization
Contact information
Practice address
131 N LOCUST, CLARKSVILLE, TX 75426-3160
(903) 427-2805
(903) 427-4291
Mailing address
131 N LOCUST, CLARKSVILLE, TX 75426-3160
(903) 427-2805
(903) 427-4291
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2004
TX
3336C0003X
Community/Retail Pharmacy
Primary
20004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144948
—
TX
Enumeration date
12/13/2006
Last updated
06/23/2008
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