Organization
PRO LAB PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY TEAGUE (OWNER)
(877) 785-1357
Entity
Organization
Contact information
Practice address
3150 CLARKSVILLE ST, SUITE 300, PARIS, TX 75460-8076
(877) 785-8750
(903) 785-1357
Mailing address
2233 EAST MAIN STREET, MONTROSE, CO 81401
(970) 249-3700
(970) 249-8421
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
16
TX
Other
Enumeration date
07/20/2006
Last updated
07/21/2022
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