Organization
CONOLY DRUG INC OF DEVINE INC
Active
Other names
CONOLY DRUG HEALTHMART
Organization subpart
No
Provider details
NPI number
Authorized official
ONIS WIEMERS RPH (PRESIDENT MANAGER AND PIC)
(830) 663-2224
Entity
Organization
Contact information
Practice address
200 S TEEL DR, DEVINE, TX 78016-3210
(830) 663-2224
(830) 665-3053
Mailing address
PO BOX R, DEVINE, TX 78016-0718
(830) 663-2224
(830) 665-3053
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140249
—
TX
01
—
4518568
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/25/2007
Last updated
02/14/2013
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