Organization
BOWIE MEMORIAL HOSPITAL
Active
Organization
BOWIE MEMORIAL HOSPITAL
Active
Other names
RICKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY A COOPER MBA (CONTROLLER)
(940) 872-9374
Entity
Organization
Contact information
Practice address
705 E GREENWOOD AVE, BOWIE, TX 76230
(940) 872-9371
(940) 872-1561
Mailing address
705 E GREENWOOD AVE, BOWIE, TX 76230
(940) 872-9371
(940) 872-1561
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4510093
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/27/2006
Last updated
05/08/2015
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