Organization
NO 3 AFFORDABLE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA LYNN MANSON (OWNER/MANAGING OFFICER)
(713) 516-2743
Entity
Organization
Contact information
Practice address
214 W AHLDAG ST, WHARTON, TX 77488-2410
(979) 282-2201
(979) 282-2202
Mailing address
214 W AHLDAG ST, WHARTON, TX 77488-2410
(979) 282-2201
(979) 282-2202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31918
TX
Other
Enumeration date
03/30/2018
Last updated
11/07/2019
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