Organization
EL CAMPO PROFESSIONAL PHARMACY
Active
Other names
Professional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MUECKE RPH (PRESIDENT)
(979) 244-1772
Entity
Organization
Contact information
Practice address
1264 N. MECHANIC ST., EL CAMPO, TX 77437
(979) 543-2761
(979) 543-2840
Mailing address
1264 N. MECHANIC ST., EL CAMPO, TX 77437
(979) 543-2761
(979) 543-2840
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
28096
TX
3336C0003X
Community/Retail Pharmacy
Primary
28096
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110741
—
TX
01
—
4519053
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/23/2006
Last updated
09/13/2012
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