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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