Organization
HOSPICE OF WICHITA FALLS PHARMACY
Active
Other names
Hospice of Wichita Falls
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID TATE (PHARMACIST)
(940) 687-8625
Entity
Organization
Contact information
Practice address
4909 JOHNSON RD, SUITE B102 PHARMACY, WICHITA FALLS, TX 76310-2547
(940) 687-8625
(940) 687-6000
Mailing address
4909 JOHNSON RD, SUITE B102 PHARMACY, WICHITA FALLS, TX 76310-2547
(940) 687-8625
(940) 687-6000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
17433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000204000
—
TX
01
—
2177571
PK
—
Enumeration date
05/17/2018
Last updated
05/17/2018
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