Organization
PHARM NACOGDOCHES ACQUISITION LLC
Active
Organization
PHARM NACOGDOCHES ACQUISITION LLC
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW FINN (OFFICER)
(817) 442-0484
Entity
Organization
Contact information
Practice address
212 NORTH ST, STE B, NACOGDOCHES, TX 75961
(817) 442-0484
(817) 977-5086
Mailing address
212 NORTH ST, STE B, NACOGDOCHES, TX 75961
(936) 569-6430
(817) 977-5086
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
12958
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275719
—
LA
05
—
143380
—
TX
01
—
4577613
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/23/2007
Last updated
03/07/2023
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