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Organization

TRAVIS C. MEITZEN,JR HUDMAN DRUG

Active
Other names
Hudman Drug Store
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TRAVIS CHARLES MEITZEN, JR R PH (OWNER PHARMACIST)
(325) 655-6961
Entity
Organization

Contact information

Practice address
201 N MAIN ST, SAN ANGELO, TX 76903-4841
(325) 655-6961
Mailing address
201 N MAIN ST, SAN ANGELO, TX 76903-4841
(325) 655-6961

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
19477
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144859
TX
01
4529939
OTHER ID NUMBER
Enumeration date
10/27/2006
Last updated
06/17/2008
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