Organization
TRAVIS C. MEITZEN,JR HUDMAN DRUG
Active
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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