Organization
JD HEALTHCARE LLC
Active
Other names
Slaton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANCE L WILSON PHARMD (MANAGING OFFICER)
(806) 292-6668
Entity
Organization
Contact information
Practice address
165 S 9TH ST STE A, SLATON, TX 79364-4121
(806) 828-4444
(806) 828-1118
Mailing address
165 S 9TH ST STE A, SLATON, TX 79364-4121
(806) 828-4444
(806) 828-1118
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28648
TEXAS BOARD OF PHARMACY
TX
Enumeration date
07/15/2013
Last updated
08/20/2024
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