Organization
NEMESIS INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
TOBY YOUNG RPH (OWNER PHARMACIST)
(254) 939-0831
Entity
Organization
Contact information
Practice address
502 E CENTRAL AVE, BELTON, TX 76513-3244
(254) 939-0831
(254) 933-9355
Mailing address
502 E CENTRAL AVE, BELTON, TX 76513-3244
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
10404
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142547
—
TX
01
—
4565757
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
03/07/2023
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