Organization
CENTER STREET PHARMACY INC.
Active
Organization
CENTER STREET PHARMACY INC.
Active
Other names
FANNIN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN REEDER RPH (OWNER)
(903) 583-8017
Entity
Organization
Contact information
Practice address
2108 N CENTER ST, BONHAM, TX 75418-2628
(903) 583-8017
(903) 583-4232
Mailing address
2108 N CENTER ST, BONHAM, TX 75418-2628
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141837
—
TX
01
—
4553827
OTHER ID NUMBER
—
Enumeration date
02/23/2007
Last updated
09/13/2007
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