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Organization
HEREFORD PHARMACY, LLC
Active
Organization
HEREFORD PHARMACY, LLC
Active
Other names
Hereford Health Mart Pharmacy, Hereford Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA MARIE MOORE (OWNER)
(806) 995-3551
Entity
Organization
Contact information
Practice address
809 S 25 MILE AVE, HEREFORD, TX 79045-4801
(806) 364-3400
(806) 364-3405
Mailing address
809 S 25 MILE AVE, HEREFORD, TX 79045-4801
(806) 364-3400
(806) 364-3405
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
26063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145935
—
TX
01
—
2160115
PK
—
Enumeration date
05/13/2016
Last updated
05/21/2024
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