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Organization

CENTEX PHARMACIES INC

Active
Other names
Gus's Drug
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA BRADLEY (REGIONAL MANAGER)
(512) 863-2506
Entity
Organization

Contact information

Practice address
702 E UNIVERSITY AVE, GEORGETOWN, TX 78626-7036
(512) 863-2506
(512) 863-2508
Mailing address
702 E UNIVERSITY AVE, GEORGETOWN, TX 78626-7036
(512) 863-2506
(512) 863-2508

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120039
TX
Enumeration date
06/17/2019
Last updated
02/05/2025
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