Organization
RWO LP
Active
Other names
PINNELLS MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELINO GODINO (PIC)
(806) 293-4151
Entity
Organization
Contact information
Practice address
2222 W 24TH ST, PLAINVIEW, TX 79072-1802
(806) 293-4151
(806) 293-5143
Mailing address
2222 W 24TH ST, PLAINVIEW, TX 79072-1802
(806) 293-4151
(806) 293-5143
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
12262
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4528785
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2006
Last updated
06/30/2010
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