# P & S REXALL PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** P & S PHARMACY LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427162411
- **Authorized official:** TRENA WEIDMANN PHARMD (OWNER)
- **Authorized official phone:** (903) 874-5121

## Contact information

- **Practice address:** 829 N MAIN ST STE C, CORSICANA, TX 75110-3048
- **Practice address phone:** (903) 874-5121
- **Practice address fax:** (903) 872-1925
- **Mailing address:** PO BOX 957, CORSICANA, TX 75151-0957
- **Mailing address phone:** (903) 874-5121
- **Mailing address fax:** (903) 872-1925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 24920 | TX | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 01/18/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 148091 | — | TX |
| 01 | — | 2099188 | PK | — |