# GADDIS PHARMACY LC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386789956
- **Authorized official:** JOAQUIN CARPENTER (OWNER)
- **Authorized official phone:** (830) 879-2323

## Contact information

- **Practice address:** 302 N MAIN ST, COTULLA, TX 78014-2153
- **Practice address phone:** (830) 879-2323
- **Practice address fax:** (830) 879-3260
- **Mailing address:** 302 N MAIN ST, COTULLA, TX 78014-2153
- **Mailing address phone:** (830) 879-2323
- **Mailing address fax:** (830) 879-3260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/22/2020