Organization
CRIMSON CARE PHARMACY GROUP II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAN BASS (CPHT, OFFICE MANAGER)
(903) 885-2639
Entity
Organization
Contact information
Practice address
1505 S BROADWAY ST, SULPHUR SPRINGS, TX 75482-4921
(903) 885-2639
(903) 335-8989
Mailing address
1505 S BROADWAY ST, SULPHUR SPRINGS, TX 75482-4921
(903) 885-2639
(903) 335-8989
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31656
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146094
—
TX
01
—
2123369
PK
—
Enumeration date
01/05/2010
Last updated
06/12/2024
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