Organization
EAGLE PHARMACY HIDEAWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A DROBLYN PHARMD. (PRESIDENT)
(903) 881-5610
Entity
Organization
Contact information
Practice address
14077 FM 849, LINDALE, TX 75771-5160
(903) 881-5752
(888) 374-1180
Mailing address
1404 S MAIN ST, LINDALE, TX 75771-6267
(903) 881-5752
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33566
STATE BOARD OF PHARMACY
TX
Enumeration date
12/18/2020
Last updated
06/13/2023
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