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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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