Organization
AGP PHARMACY LLC
Active
Other names
Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA PETERS (OWNER/MANAGER)
(806) 296-9000
Entity
Organization
Contact information
Practice address
701 COMMERCE ST, SILVERTON, TX 79257-2565
(806) 823-2109
(806) 823-2110
Mailing address
3200 OLTON RD STE B, PLAINVIEW, TX 79072-6653
(806) 296-9000
(806) 296-9001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149957
—
TX
Enumeration date
02/17/2018
Last updated
04/17/2019
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