Organization
AMARILLO COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT DANCE PHARMD (PHARMACIST-IN-CHARGE)
(806) 378-8843
Entity
Organization
Contact information
Practice address
1422 S TYLER ST, SUITE 105, AMARILLO, TX 79101-4237
(806) 378-8843
Mailing address
1422 S TYLER ST, SUITE 105, AMARILLO, TX 79101-4237
(806) 378-8843
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
24402
TX
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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