Organization
EASTTEXRX LLC
Active
Other names
Spring Hill Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE BARNHILL (PRESIDENT)
(903) 212-7900
Entity
Organization
Contact information
Practice address
3600 GILMER RD, LONGVIEW, TX 75604-1219
(903) 212-7900
(903) 212-7905
Mailing address
3600 GILMER RD, LONGVIEW, TX 75604-1219
(903) 212-7900
(903) 212-7905
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149600
—
TX
01
—
2167603
PK
—
Enumeration date
02/07/2017
Last updated
06/22/2022
About Stedi
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