Organization
BOULDER HOLDINGS, LLC
Active
Other names
HENDERSON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES STEPHEN GIVENS II (OFFICER)
(817) 760-2287
Entity
Organization
Contact information
Practice address
1301 W HENDERSON ST STE L4-C, CLEBURNE, TX 76033-5100
(817) 760-2287
(817) 720-9987
Mailing address
1301 W HENDERSON ST STE L4-C, CLEBURNE, TX 76033-5100
(817) 760-2287
(817) 720-9987
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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