Organization
PHARMACY 20 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDELL DIRK PARISH (AUTHOR. OFFICIAL)
(903) 793-1633
Entity
Organization
Contact information
Practice address
82 SPRUCE ST, SUITE 120, MURRAY, KY 42071-2150
(800) 779-4550
Mailing address
1210 PINE ST, TEXARKANA, TX 75501-4410
(800) 779-4550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
012267
KY
Other
Enumeration date
02/23/2006
Last updated
08/22/2020
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