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Organization

S & J WAXAHACHIE PHARMACY INC

Active
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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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