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Organization
P & S REXALL PHARMACY INC
Active
Organization
P & S REXALL PHARMACY INC
Active
Other names
P & S PHARMACY LTC
Organization subpart
No
Provider details
NPI number
Authorized official
TRENA WEIDMANN PHARMD (OWNER)
(903) 874-5121
Entity
Organization
Contact information
Practice address
829 N MAIN ST STE C, CORSICANA, TX 75110-3048
(903) 874-5121
(903) 872-1925
Mailing address
PO BOX 957, CORSICANA, TX 75151-0957
(903) 874-5121
(903) 872-1925
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
24920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148091
—
TX
01
—
2099188
PK
—
Enumeration date
08/18/2006
Last updated
01/18/2017
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