Organization
OVERTON PHARMACY LLC
Active
Other names
Overton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ABBI SPLAWN PHARMD (OWNER)
(903) 834-0154
Entity
Organization
Contact information
Practice address
104 W HENDERSON ST, OVERTON, TX 75684-1613
(903) 834-0154
(903) 834-0156
Mailing address
104 W HENDERSON ST, OVERTON, TX 75684-1613
(903) 834-0154
(903) 834-0156
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124308
PK
—
Enumeration date
03/02/2010
Last updated
06/06/2019
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