Organization
DASONCARE GROUP LLC
Active
Other names
DasonCare
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN ANDERSON (PHARMACIST-IN-CHARGE)
(979) 849-5400
Entity
Organization
Contact information
Practice address
1204 N VELASCO ST STE 105, ANGLETON, TX 77515-3199
(979) 849-5400
(979) 849-5416
Mailing address
1204 N VELASCO ST STE 105, ANGLETON, TX 77515-3199
(979) 849-5400
(979) 849-5416
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
27568
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5904241
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2011
Last updated
12/01/2011
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