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Organization
FREDERICKSBURG DRUG CO
Active
Organization
FREDERICKSBURG DRUG CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W TERRY (PHARMACY MANAGER/OWNER)
(830) 997-2163
Entity
Organization
Contact information
Practice address
205 W WINDCREST, SUITE 160, FREDERICKSBURG, TX 78624
(830) 997-2163
(830) 997-6276
Mailing address
205 W WINDCREST, SUITE 160, FREDERICKSBURG, TX 78624
(830) 997-2163
(830) 997-6276
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00546
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4505953
—
TX
Enumeration date
08/04/2006
Last updated
08/09/2013
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