Organization
KEYES PHARMACY LLC
Active
Other names
KEYES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALTON LAND PHARMD (OWNER - SOLE MEMBER)
(806) 537-3034
Entity
Organization
Contact information
Practice address
928 N HOBART ST, PAMPA, TX 79065-5204
(806) 669-1202
(806) 669-0957
Mailing address
201 MAIN STREET BOX 1654, PANHANDLE, TX 79068
(806) 537-3034
(806) 537-5461
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150218
—
TX
Enumeration date
11/01/2006
Last updated
09/09/2021
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