Organization
AGP PHARMACY LLC
Active
Other names
Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA GWEN PETERS R.PH. (OWNER/MANAGER)
(806) 543-1337
Entity
Organization
Contact information
Practice address
3200 OLTON RD, B, PLAINVIEW, TX 79072-6653
(806) 296-9000
(806) 296-9001
Mailing address
3200 OLTON RD STE B, PLAINVIEW, TX 79072-6653
(806) 296-9000
(806) 296-9001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
27995
TX
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148197
—
TX
Enumeration date
04/26/2012
Last updated
09/19/2019
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