Organization
MISTER MEDS LLC
Active
Organization
MISTER MEDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO TABRAUE (MANAGER)
(786) 295-1084
Entity
Organization
Contact information
Practice address
141 CLYDE ST, ABILENE, TX 79605-1751
(866) 676-3371
(866) 611-9114
Mailing address
141 CLYDE ST, ABILENE, TX 79605-1751
(866) 676-3371
(866) 611-9114
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35657
TEXAS STATE BOARD OF PHARMACY
TX
Enumeration date
03/17/2025
Last updated
03/17/2025
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