Organization
FCI TEXARKANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILES MORIMOTO (CHIEF PHARMACIST)
(903) 838-4587
Entity
Organization
Contact information
Practice address
4001 LEOPARD DRIVE, TEXARKANA, TX 75501
(903) 838-4587
Mailing address
PO BOX 9500, TEXARKANA, TX 75505
(903) 838-4587
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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