Organization
MABEL ALLENE HUNT
Active
Other names
The Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MABEL ALLENE HUNT RPH (OWNER PHARMACIST)
(361) 552-2600
Entity
Organization
Contact information
Practice address
1B VIRGINIA PL, PORT LAVACA, TX 77979-2510
(361) 552-2600
Mailing address
1B VIRGINIA PL, PORT LAVACA, TX 77979-2510
(361) 552-2600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
25400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4568309
NCPDP
TX
Enumeration date
03/05/2007
Last updated
07/14/2008
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