Organization
TRANS PECOS PHARMACY LLC
Active
Organization
TRANS PECOS PHARMACY LLC
Active
Other names
Rediger's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE VALENZUELA (MEMBER)
(432) 445-4916
Entity
Organization
Contact information
Practice address
724 S EDDY ST, PECOS, TX 79772-3727
(432) 445-4916
(432) 445-6085
Mailing address
724 S EDDY ST, PECOS, TX 79772-3727
(432) 445-4916
(432) 445-6085
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140863
PK
—
Enumeration date
06/19/2013
Last updated
07/22/2013
Update your record
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