# CRESTMARK PHARMACY SERVICES OF TEXAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRESTMARK PHARMACY SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649846494
- **Authorized official:** LEIGH ANNE MATHES PHARM D. (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (850) 381-1433

## Contact information

- **Practice address:** 220 ELLA ST, TOMBALL, TX 77375-5094
- **Practice address phone:** (346) 273-0002
- **Practice address fax:** (866) 393-1507
- **Mailing address:** 433 N MACARTHUR AVE, PANAMA CITY, FL 32401-3767
- **Mailing address phone:** (850) 381-1433
- **Mailing address fax:** (850) 872-1321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/02/2021
- **Last updated:** 06/02/2021