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Organization

PHARMPRORX LLC

Active
Other names
PHARMPRORX
Organization subpart
No

Provider details

NPI number
Authorized official
TODD SILUK (PIC)
(832) 581-5886
Entity
Organization

Contact information

Practice address
1105 SANTA FE DR, STE 107, WEATHERFORD, TX 76086-5811
(682) 262-1506
(817) 599-9673
Mailing address
1105 SANTA FE DR, STE 107, WEATHERFORD, TX 76086-5811
(682) 262-1506
(972) 332-3672

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
28032
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2094072
PK
Enumeration date
09/21/2006
Last updated
10/10/2014
About Stedi
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