Organization
SAMUEL A GURROLA
Active
Other names
Palafox Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL A GURROLA (PHARMACIST IN CHARGE OWNER)
(915) 886-3394
Entity
Organization
Contact information
Practice address
929 S. MAIN ST, ANTHONY, TX 79821
(915) 886-3394
(915) 886-3290
Mailing address
929 S. MAIN ST, ANTHONY, TX 79821
(915) 886-3394
(915) 886-3290
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
20097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00056697
—
NM
Enumeration date
12/26/2006
Last updated
08/11/2008
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