Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Active
Other names
AMARILLO PHARMACEUTICAL CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE M KUO (DEAN TX TECH SCHOOL OF PHCY)
(806) 414-4000
Entity
Organization
Contact information
Practice address
1400 S COULTER ST STE 1100, AMARILLO, TX 79106-1786
(806) 414-9390
(806) 356-4625
Mailing address
1400 S COULTER ST STE 1100, AMARILLO, TX 79106-1786
(806) 414-9390
(806) 356-4625
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
21368
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145191
—
TX
01
—
2097324
PK
—
Enumeration date
06/18/2006
Last updated
09/12/2022
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