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Organization
THE PHARMACY SHOP, INC.
Active
Organization
THE PHARMACY SHOP, INC.
Active
Other names
The Pharmacy Shop II
Organization subpart
No
Provider details
NPI number
Authorized official
JUDI HENNEKE R. PH. (OWNER)
(979) 776-6800
Entity
Organization
Contact information
Practice address
1602 ROCK PRAIRIE RD, SUITE 1000, COLLEGE STATION, TX 77845-8306
(979) 764-4100
Mailing address
1602 ROCK PRAIRIE RD, SUITE 1000, COLLEGE STATION, TX 77845-8306
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
24235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145596
—
TX
Enumeration date
11/18/2005
Last updated
08/22/2020
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