Organization
PLEASANT GROVE PHARMACY
Active
Other names
PLEASANT GROVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA PEEPLES (OWNER AND PHARMACIST)
(903) 832-4545
Entity
Organization
Contact information
Practice address
3302 RICHMOND RD, TEXARKANA, TX 75503-0703
(903) 832-4545
(903) 832-4546
Mailing address
3302 RICHMOND RD, TEXARKANA, TX 75503-0703
(903) 832-4545
(903) 832-4546
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142931
—
TX
01
—
2102791
PK
—
Enumeration date
10/07/2006
Last updated
12/26/2014
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