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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