Organization
METROPLEX ADVENTIST HOSPITAL INC
Active
Other names
Metroplex Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SARA LUONG PHARMD (PHARMACY MANAGER)
(254) 519-8272
Entity
Organization
Contact information
Practice address
2201 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 519-8272
(254) 519-8919
Mailing address
2201 S CLEAR CREEK RD, ATTN: OUTPATIENT PHARMACY, KILLEEN, TX 76549-4110
(254) 519-8272
(254) 519-8262
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15371
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143030
PK
—
Enumeration date
11/15/2013
Last updated
09/07/2016
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