Organization
JIM B SPEARS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY SPEARS (PRESIDENT)
(940) 552-2999
Entity
Organization
Contact information
Practice address
1720 HILLCREST DR, VERNON, TX 76384-4099
(940) 552-2999
(940) 552-5347
Mailing address
P.O. BOX 1737, VERNON, TX 76385
(940) 552-2999
(940) 552-5347
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
16832
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016719902
—
TX
05
—
100814040B
—
OK
05
—
148171
—
TX
01
—
2162190
PK
—
Enumeration date
07/26/2016
Last updated
11/09/2020
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