Organization
NORTHWEST TEXAS HEALTHCARE SYSTEM INC
Active
Other names
JO WYATT COMMUNITY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT COLLIER RPH (PHARMACY MANAGER)
(806) 351-7241
Entity
Organization
Contact information
Practice address
1411 E AMARILLO BLVD, AMARILLO, TX 79107-5555
(806) 351-7240
(806) 351-7306
Mailing address
1411 E AMARILLO BLVD, PO BOX 1110, AMARILLO, TX 79107-5555
(806) 351-7240
(806) 351-7306
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144946
—
TX
01
—
2105523
PK
—
Enumeration date
11/20/2006
Last updated
12/20/2016
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