Organization
MEDICINE CHEST NO113 LLC
Active
Other names
Medicine Chest # 113
Organization subpart
No
Provider details
NPI number
Authorized official
JOE WEAVER RPH (PRESIDENT)
(903) 885-0821
Entity
Organization
Contact information
Practice address
411 MAIN ST, SULPHUR SPRINGS, TX 75482-2762
(903) 885-0821
Mailing address
PO BOX 796, SULPHUR SPRINGS, TX 75483-0796
(903) 885-0821
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25934
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2098341
PK
—
Enumeration date
08/18/2006
Last updated
08/23/2013
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