Organization
CEDAR CREEK PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR JIMENEZ R.PH. (PHARMACIST IN CHARGE/MANAGER)
(903) 432-3484
Entity
Organization
Contact information
Practice address
606 S SEVEN POINTS DR, SEVEN POINTS, TX 75143-9117
(903) 432-2223
(903) 432-2647
Mailing address
606 S SEVEN POINTS DR, SEVEN POINTS, TX 75143-9117
(903) 432-2223
(903) 432-2647
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
04235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144656
—
TX
Enumeration date
09/06/2005
Last updated
08/22/2020
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