Organization
PFENNIGS PRESCRIPTION PHARMACY INC
Active
Other names
PFENNIGS PRESCRIPTION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRASHANTH PONNAM RPH (PRESIDENT / PIC)
(512) 352-5233
Entity
Organization
Contact information
Practice address
511 N MAIN ST, TAYLOR, TX 76574-3646
(512) 352-5233
(512) 352-9456
Mailing address
511 N MAIN ST, TAYLOR, TX 76574-1139
(512) 352-5233
(512) 352-9456
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5901
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148878
—
TX
01
—
2096197
PK
—
Enumeration date
08/22/2005
Last updated
05/07/2023
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