Organization
SPENCER BROTHERS PHARMACY
Active
Other names
SPENCER BROTHERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSO SOSA (PHARMACIST)
(915) 886-3373
Entity
Organization
Contact information
Practice address
3022 TRAWOOD DR, EL PASO, TX 79936-4329
(915) 886-3373
(915) 886-3328
Mailing address
3022 TRAWOOD DR, EL PASO, TX 79936-4329
(915) 886-3373
(915) 886-3328
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25571
TX
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4546531
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/13/2007
Last updated
02/14/2011
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