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Organization
MEDICINE CHEST NO 132 LLC
Active
Organization
MEDICINE CHEST NO 132 LLC
Active
Other names
MEDICAL CENTER MEDICINE CHEST
Organization subpart
No
Provider details
NPI number
Authorized official
JOE WEAVER CPHT, BBA (PRESIDENT, RPH)
(903) 885-0821
Entity
Organization
Contact information
Practice address
411 MAIN ST, SULPHUR SPRINGS, TX 75482-2762
(903) 885-0821
Mailing address
PO BOX 796, SULPHUR SPRINGS, TX 75483-0796
(903) 885-0821
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
27307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128855
PK
—
Enumeration date
07/21/2006
Last updated
08/23/2013
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