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Organization

GIDDINGS DRUG COMPANY LTD

Active
Other names
PIERATTS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFERY FAIN (OWNER)
(979) 542-3164
Entity
Organization

Contact information

Practice address
233 S MANSE AVE, GIDDINGS, TX 78942-3440
(979) 542-3164
(979) 542-3489
Mailing address
233 S MANSE AVE, GIDDINGS, TX 78942-3440
(979) 542-3164
(979) 542-3489

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
19231
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144807
TX
01
2091368
PK
Enumeration date
08/18/2006
Last updated
10/26/2013
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