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Organization

GORMAN PHARMACY

Active
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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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