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Organization
KING'S PHARMACY
Active
Organization
KING'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY R STONE RPH (MANAGER)
(409) 735-7783
Entity
Organization
Contact information
Practice address
1160 TEXAS AVE, BRIDGE CITY, TX 77630
(409) 735-3526
Mailing address
1160 TEXAS AVE, BRIDGE CITY, TX 77630
(409) 735-3526
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145343
—
TX
01
—
4587727
NPCDP
TX
Enumeration date
10/03/2006
Last updated
08/22/2020
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