Organization
JAMES MCCOY'S MIDTOWN DRUG STORE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HEUERMAN PHARMD (OWNER/MANAGER)
(325) 232-8866
Entity
Organization
Contact information
Practice address
1417 S WILLIS, ABILENE, TX 79605
(325) 232-8866
(325) 232-8870
Mailing address
1417 SOUTH WILLIS ST, ABILENE, TX 79605
(325) 232-8866
(325) 232-8870
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33129
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
02/26/2020
Last updated
08/28/2020
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