Organization
CLEAR CREEK PHARMACY INC
Active
Organization
CLEAR CREEK PHARMACY INC
Active
Other names
CLEAR CREEK PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DYKES (PIC)
(713) 747-2100
Entity
Organization
Contact information
Practice address
2300 CLEAR CREEK RD, STE 205, KILLEEN, TX 76549-4984
(254) 247-3170
(254) 247-3175
Mailing address
5751 BYLTHEWOOD ST, STE 300, HOUSTON, TX 77021-5402
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25865
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4547355
OTHER ID NUMBER
—
Enumeration date
01/28/2008
Last updated
03/12/2008
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