Organization
BENTLEY PHARMACY
Active
Other names
Bass Rutlrdge drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED BENTLEY (OWNER)
(972) 563-3311
Entity
Organization
Contact information
Practice address
201 W MOORE AVE, TERRELL, TX 75160-3115
(972) 563-3311
(972) 563-5808
Mailing address
201 W MOORE AVE, TERRELL, TX 75160-3115
(972) 563-3311
(972) 563-5808
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144388
—
TX
Enumeration date
11/09/2006
Last updated
12/01/2009
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