Organization
COMANCHE COUNTY MEDICAL CENTER COMPANY
Active
Other names
Comanche County Medical Center Pharmacy, MCMAHAN PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY HILL (DIRECTOR OF RETAIL PHARMACY OPS.)
(254) 879-4900
Entity
Organization
Contact information
Practice address
1503 W FRONT ST, GOLDTHWAITE, TX 76844-2056
(325) 648-2484
(325) 648-3417
Mailing address
10201 TEXAS 16, COMANCHE, TX 76442
(325) 648-2484
(325) 648-3417
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
04397
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141499
—
TX
01
—
2096759
PK
—
Enumeration date
09/06/2006
Last updated
04/16/2025
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