Organization
CHRISTUS HEALTH ARK-LA-TEX
Active
Other names
CHRISTUS St Michael Health Care Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MATTHEW ADAMS (PRESIDENT)
(702) 738-4546
Entity
Organization
Contact information
Practice address
2604 SAINT MICHAEL DR STE 200, TEXARKANA, TX 75503-2378
(903) 614-2200
(903) 614-2868
Mailing address
2604 SAINT MICHAEL DR STE 200, TEXARKANA, TX 75503-2378
(903) 614-2200
(903) 614-2868
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
35349
TX
3336C0003X
Community/Retail Pharmacy
Primary
19509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144972
—
TX
05
—
145946407
—
AR
Enumeration date
02/06/2007
Last updated
05/12/2022
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