Organization
S & J WAXAHACHIE PHARMACY INC
Active
Other names
S & J Waxahachie Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JARROD LINK (PRESIDENT)
(940) 458-5539
Entity
Organization
Contact information
Practice address
1001 FERRIS AVE, WAXAHACHIE, TX 75165-2557
(972) 923-2083
(972) 923-2084
Mailing address
1001 FERRIS AVE, WAXAHACHIE, TX 75165-2557
(972) 923-2083
(972) 923-2084
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26451
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4551025
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/02/2009
Last updated
11/09/2010
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