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Organization

GARY KING PHARMACY INC

Active
Other names
KINGS COMPOUNDING PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL PRIEBE RPH (PRESIDENT)
(806) 358-4576
Entity
Organization

Contact information

Practice address
1600 COULTER DR, STE 307, AMARILLO, TX 79106-1718
(806) 358-4576
(806) 358-4323
Mailing address
1600 COULTER DR, STE 307, AMARILLO, TX 79106-1718
(806) 358-4576
(806) 358-4323

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
4755
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013676401
TX
05
111369801
TX
05
111369802
TX
05
111369803
TX
01
2093286
PK
Enumeration date
06/30/2005
Last updated
06/10/2025
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