Organization
GORMAN PHARMACY
Active
Other names
Gorman Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE SIMMONS (OWNER/PIC)
(254) 734-2859
Entity
Organization
Contact information
Practice address
117 S KENT ST, GORMAN, TX 76454-3060
(254) 734-2859
(254) 734-2859
Mailing address
PO BOX 608, GORMAN, TX 76454-0608
(254) 734-2859
(254) 734-2859
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146038
PK
—
Enumeration date
06/02/2014
Last updated
06/02/2014
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