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Organization
GATESVILLE DRUG COMPANY, LTD
Active
Organization
GATESVILLE DRUG COMPANY, LTD
Active
Other names
Gatesville Drug Co Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WAYNE GEORGE PHARM D (OWNER/PHARMACIST IN CHARGE)
(254) 865-2417
Entity
Organization
Contact information
Practice address
2513 S. STATE HIGHWAY 36, GATESVILLE, TX 76528-2519
(254) 865-2417
(254) 865-4024
Mailing address
2513 S. STATE HIGHWAY 36, GATESVILLE, TX 76528-2519
(254) 865-2417
(254) 865-4024
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
20099
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144947
—
TX
05
—
149115
—
TX
01
—
4503389
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2006
Last updated
01/26/2021
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