Organization
NORVAL D. MEREDITH
Active
Organization
NORVAL D. MEREDITH
Active
Other names
KEEL DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
NORVAL MEREDITH PHARMACY (OWNER PHARMACIST)
(325) 365-3505
Entity
Organization
Contact information
Practice address
706 HUTCHINS AVE, BALLINGER, TX 76821-5609
(325) 365-3505
(325) 365-5376
Mailing address
706 HUTCHINS AVE, BALLINGER, TX 76821-5609
(325) 365-3505
(325) 365-5376
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
06116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013712701
—
TX
05
—
091454101
—
TX
05
—
142093
—
TX
01
—
4513582
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2006
Last updated
07/21/2010
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