Organization
LONGHORN DRUG COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY LONG (VP)
(386) 698-3737
Entity
Organization
Contact information
Practice address
1711 S HENDERSON BLVD, #100, KILGORE, TX 75662-3563
(903) 983-5313
(903) 984-0923
Mailing address
1711 S HENDERSON BLVD, #100, KILGORE, TX 75662-3563
(903) 983-5313
(903) 984-0923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
D3473
TX
Other
Enumeration date
02/22/2007
Last updated
02/05/2008
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