Organization
CVS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYDEN WADE KOPETSKY PHARM.D (PHARMACIST)
(979) 774-1481
Entity
Organization
Contact information
Practice address
2100 TEXAS AVE S, COLLEGE STATION, TX 77840-3918
(979) 696-4368
Mailing address
2100 TEXAS AVE S, COLLEGE STATION, TX 77840-3918
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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