Organization
SEARS METHODIST CENTER, INC
Active
Other names
Sears Methodist Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVA L WEST CPA (VICE PRESIDENT/ASST. CFO)
(325) 691-5519
Entity
Organization
Contact information
Practice address
3202 S WILLIS ST, ABILENE, TX 79605-6650
(325) 692-6145
Mailing address
1 VILLAGE DR, SUITE 400, ABILENE, TX 79606-8231
(325) 691-5519
(325) 698-4582
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
15258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350020
—
TX
Enumeration date
12/01/2005
Last updated
08/22/2020
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