Organization
EL CAMPO PROFESSIONAL PHARMACY
Active
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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