Organization
THORNHILL HEALTHCARE INC
Active
Other names
Shallowater Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JARED THORNHILL (OWNER)
(806) 832-0300
Entity
Organization
Contact information
Practice address
600 8TH ST, SHALLOWATER, TX 79363-5726
(806) 832-0300
(806) 832-0301
Mailing address
600 8TH ST, SHALLOWATER, TX 79363-5726
(806) 832-0300
(806) 832-0301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
31245
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149573
—
TX
01
—
2166070
PK
—
Enumeration date
11/02/2016
Last updated
03/31/2017
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