Organization
CRAWFORD PHARMACY OF BANDERA LLC
Active
Other names
Crawford pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PREM S KALIDINDI RPH (MEMBER/CFO)
(917) 769-8014
Entity
Organization
Contact information
Practice address
907 N MAIN, BANDERA, TX 78003
(830) 460-4205
(830) 796-4537
Mailing address
PO BOX 218, 907 N MAIN, BANDERA, TX 78003
(830) 460-4205
(830) 796-4537
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
27778
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146494
—
TX
Enumeration date
12/06/2006
Last updated
01/20/2012
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