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Organization
ORANGE PHARMACY
Active
Organization
ORANGE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALLEN DENNISON R.PH. (OWNER/PHARMACIST)
(409) 883-3551
Entity
Organization
Contact information
Practice address
1101 N 16TH ST, ORANGE, TX 77630-3605
(409) 883-3551
(409) 883-3455
Mailing address
1101 N 16TH ST, ORANGE, TX 77630-3605
(409) 883-3551
(409) 883-3455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142464
—
TX
Enumeration date
09/27/2006
Last updated
08/22/2020
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