Organization
CORPORATE HEALTH DIMENSIONS DBA GOODYEAR PHARMACY TYLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELANA D STATEN RPH (PHARMACY MANAGER)
(903) 592-3487
Entity
Organization
Contact information
Practice address
13221 FM 206 HWY 31 W, TYLER, TX 75709
(903) 592-3487
(903) 593-8737
Mailing address
P. O. BOX 5450, TYLER, TX 75712
(903) 592-3487
(903) 593-8737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15096
TX
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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