Organization
KING VENTURE PLLC
Active
Organization
KING VENTURE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KING (OWNER/PHARMACIST)
(806) 335-5680
Entity
Organization
Contact information
Practice address
100 TRICE ST, CLAUDE, TX 79019
(806) 731-4825
(806) 731-4669
Mailing address
PO BOX 719, CLAUDE, TX 79019-0719
(806) 731-4825
(806) 731-4669
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
32048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176373
PK
—
Enumeration date
03/07/2018
Last updated
06/06/2018
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