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Organization
SCOTT'S QUITMAN PHARMACY, LLC
Active
Organization
SCOTT'S QUITMAN PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL EVETTE WAKEMAN (TECHNICIAN/OFFICE MANAGER)
(903) 763-9600
Entity
Organization
Contact information
Practice address
310 E GOODE ST, STE E, QUITMAN, TX 75783
(903) 763-9600
Mailing address
310 E GOODE ST, ADDRESS 2, QUITMAN, TX 75783
(903) 763-9600
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
02/06/2020
Last updated
06/15/2020
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