Organization
GMG MEDICAL SUPPLY LTD
Active
Other names
UNIVERSITY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
GRAYSON HANKINS (PRESIDENT)
(432) 366-8821
Entity
Organization
Contact information
Practice address
4850 E UNIVERSITY BLVD, ODESSA, TX 79762-8106
(432) 366-8821
(432) 367-4567
Mailing address
4850 E UNIVERSITY BLVD, ODESSA, TX 79762-8106
(432) 366-8821
(432) 367-4567
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24948
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101779
PK
—
Enumeration date
07/22/2006
Last updated
02/20/2017
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