Organization
MAL ENTERPRISES INC
Active
Other names
Serenity Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL HOOVER (TREASURER-CONTROLLER)
(235) 236-6351
Entity
Organization
Contact information
Practice address
507 S. BURLESON AVE., MCCAMEY, TX 79752
(325) 884-2579
(325) 884-3234
Mailing address
PO BOX 8, SWEETWATER, TX 79556-0008
(325) 236-6351
(325) 236-6336
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123721
PK
—
05
—
466659
—
TX
Enumeration date
08/10/2006
Last updated
12/15/2015
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