Organization
UHS RETAIL PHARMACY, LLC
Active
Other names
CentRx Pharmacy at Texoma
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN PEMBER BSC PHARMACY (CEO)
(610) 302-3300
Entity
Organization
Contact information
Practice address
5012 S US HIGHWAY 75 STE 140, DENISON, TX 75020-4599
(903) 327-8808
(903) 327-8909
Mailing address
5012 S US HIGHWAY 75 STE 140, DENISON, TX 75020-4599
(903) 446-6441
(903) 416-6443
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29773
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148019
—
TX
01
—
2151980
PK
—
Enumeration date
02/26/2015
Last updated
10/27/2020
About Stedi
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