Organization
M & L PHARMACY
Active
Other names
M AND L PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY WEHLMANN (VP)
(512) 515-5123
Entity
Organization
Contact information
Practice address
14871 W HWY 29, LIBERTY HILL, TX 78642-0546
(512) 515-5123
(512) 515-5476
Mailing address
PO BOX 546, LIBERTY HILL, TX 78642-0546
(512) 515-5123
(512) 515-5476
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142812
—
TX
01
—
4570051
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2006
Last updated
01/12/2012
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