Organization
1ST STREET APOTHECARY
Active
Other names
1st Street Apothecary Inc
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MITCHELL (PHARMACIST)
(254) 598-3541
Entity
Organization
Contact information
Practice address
2006 S 1ST ST STE B, TEMPLE, TX 76504-7450
(254) 598-3541
(254) 598-3542
Mailing address
2006 S 1ST ST STE B, TEMPLE, TX 76504-7450
(254) 598-3541
(254) 598-3542
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
26916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5901613
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/01/2010
Last updated
11/04/2010
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