Organization
KNOX COUNTY HOSPITAL DISTRICT
Active
Other names
KNOX COUNTY PHARMACY & SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KUEHLER B PHARM (CEO,AO)
(940) 657-3535
Entity
Organization
Contact information
Practice address
712 SE 5TH ST, KNOX CITY, TX 79529-2105
(940) 657-4036
(940) 657-4039
Mailing address
PO BOX 608, KNOX CITY, TX 79529-0608
(940) 657-4036
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134895
PK
—
05
—
250487
—
TX
Enumeration date
05/01/2012
Last updated
11/06/2020
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