Organization
GATESVILLE DRUG COMPANY, LTD
Active
Other names
Gatesville Drug Co Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WAYNE GEORGE PHARM D (OWNER/PHARMACIST IN CHARGE)
(254) 865-2417
Entity
Organization
Contact information
Practice address
2513 S. STATE HIGHWAY 36, GATESVILLE, TX 76528-2519
(254) 865-2417
(254) 865-4024
Mailing address
2513 S. STATE HIGHWAY 36, GATESVILLE, TX 76528-2519
(254) 865-2417
(254) 865-4024
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
20099
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144947
—
TX
05
—
149115
—
TX
01
—
4503389
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2006
Last updated
01/26/2021
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