Organization
A & L INC
Active
Other names
ANDERSON DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE BASORE RPH (PHARMACIST)
(903) 675-5040
Entity
Organization
Contact information
Practice address
419 S PALESTINE ST, ATHENS, TX 75751-2511
(903) 675-5040
(903) 675-7442
Mailing address
419 S PALESTINE ST, ATHENS, TX 75751-2511
(903) 675-5040
(903) 675-7442
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
6435
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142204
—
TX
01
—
2102817
PK
—
Enumeration date
08/18/2006
Last updated
11/29/2017
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