Organization
BOYLES BANDERA PHARMACY
Active
Other names
BOYLES BANDERA
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MULLINS RPH (PIC PRESIDENT)
(830) 796-8181
Entity
Organization
Contact information
Practice address
1200 SYCAMORE ST, BANDERA, TX 78003-2020
(830) 796-8191
(830) 796-8204
Mailing address
PO BOX 2020, BANDERA, TX 78003-2020
(830) 796-8191
(830) 796-8204
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12543
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143183
—
TX
01
—
4569868
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/06/2006
Last updated
02/12/2010
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