Organization
JOHN BEN KNUDSON
Active
Other names
COMANCHE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KNUDSON RPH (OWNER)
(325) 356-2585
Entity
Organization
Contact information
Practice address
1001 N AUSTIN ST, COMANCHE, TX 76442-1701
(325) 356-2585
(325) 356-2585
Mailing address
1001 N AUSTIN ST, COMANCHE, TX 76442-1701
(325) 356-2585
(325) 356-2585
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
03158
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140091
—
TX
01
—
4516134
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/12/2006
Last updated
11/07/2011
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