Organization
HOSPICE EL PASO
Active
Other names
HOSPICE EL PASO
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BLACK PHARMD (EXECUTIVE DIRECTOR)
(915) 532-5699
Entity
Organization
Contact information
Practice address
1440 MIRACLE WAY, EL PASO, TX 79925-7102
(915) 532-5699
(915) 532-7822
Mailing address
1440 MIRACLE WAY, EL PASO, TX 79925-7102
(915) 532-5699
(915) 532-7822
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
15740
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00200200
—
TX
01
—
4592805
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/04/2008
Last updated
10/04/2010
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