Organization
NOLEN PHARMACY INC
Active
Other names
NOLEN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE ROSE (STORE MANAGER)
(432) 336-2201
Entity
Organization
Contact information
Practice address
700 W DICKINSON BLVD, FORT STOCKTON, TX 79735-4230
(432) 336-2201
(432) 336-6646
Mailing address
PO BOX 880, FORT STOCKTON, TX 79735-0880
(432) 336-2201
(432) 336-6646
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3574
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2096326
PK
—
Enumeration date
09/30/2006
Last updated
04/01/2014
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