Organization
ORANGE PHARMACY LLC
Active
Other names
SHOLARS MEDICINE CHEST
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MICHEL (CEO)
(903) 885-0821
Entity
Organization
Contact information
Practice address
1301 W PARK AVE, ORANGE, TX 77630-4923
(409) 883-4352
(903) 885-1024
Mailing address
PO BOX 6397, TYLER, TX 75711-6397
(903) 885-0821
(903) 885-1024
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25120
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145704
—
TX
01
—
2098564
PK
—
Enumeration date
08/10/2006
Last updated
07/29/2015
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