Organization
PM KENNEMUR ENTERPRISES INC
Active
Other names
Medicine Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL E KENNEMUR RPH (PHARMACY OWNER)
(432) 263-7316
Entity
Organization
Contact information
Practice address
1009 S GREGG ST, BIG SPRING, TX 79720-2919
(432) 263-7316
(432) 264-7035
Mailing address
1009 S GREGG ST, BIG SPRING, TX 79720-2919
(432) 263-7316
(432) 264-7035
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
25332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5849920001
—
TX
Enumeration date
12/07/2006
Last updated
01/28/2010
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