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Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
TERRELL STATE HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GARNETT (PROGRAM SUPERVISOR)
(512) 913-1580
Entity
Organization
Contact information
Practice address
1200 E BRIN ST, TERRELL, TX 75160-2938
(972) 551-8238
(972) 551-8805
Mailing address
PO BOX 70, TERRELL, TX 75160-9000
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
6034
TX
3336M0003X
Managed Care Organization Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137919003
—
TX
01
—
2097616
PK
—
Enumeration date
08/07/2006
Last updated
11/17/2023
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