Organization
BAYLOR UNIV HEALTH CENTER PHARMACY
Active
Organization
BAYLOR UNIV HEALTH CENTER PHARMACY
Active
Other names
BAYLOR UNIVERSITY HLTH CTR PHY
Organization subpart
No
Provider details
NPI number
Authorized official
PAM KILGORE RPH (PIC)
(254) 710-4268
Entity
Organization
Contact information
Practice address
209 SPEIGHT AVE, STE 214, WACO, TX 76706-1507
(254) 710-4991
(254) 710-3620
Mailing address
209 SPEIGHT AVE, STE 214, WACO, TX 76706-1507
(254) 710-4268
(254) 710-3620
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
01423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4543535
OTHER ID NUMBER
—
Enumeration date
09/13/2006
Last updated
08/11/2010
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