Organization
DRISCOLL PHARMACY INC
Active
Other names
DRISCOLL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DRISCOLL PARM D (PRESIDENT)
(806) 892-2561
Entity
Organization
Contact information
Practice address
816 FRONTAGE RD, IDALOU, TX 79329-9100
(806) 892-2561
(806) 892-3647
Mailing address
816 FRONTAGE RD, IDALOU, TX 79329-9100
(806) 892-2561
(806) 892-3647
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144512
—
TX
01
—
2097884
PK
—
Enumeration date
04/21/2006
Last updated
09/29/2020
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