Organization
CHAPMAN PHARMACY INC
Active
Other names
CHEROKEE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MONTE ETHINGTON RPH (PHARMACIST AND PRESIDENT)
(903) 683-2422
Entity
Organization
Contact information
Practice address
181 S MAIN ST, RUSK, TX 75785-1325
(903) 683-5986
(903) 683-1195
Mailing address
181 S MAIN ST, RUSK, TX 75785-1325
(903) 683-5986
(903) 683-1195
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
22708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350193
—
TX
01
—
4529523
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/02/2007
Last updated
08/31/2012
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