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Organization

SLMT INC

Active
Other names
MEDICINE SHOPPE
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN MOSHER (OWNER/PIC)
(915) 764-2739
Entity
Organization

Contact information

Practice address
1420 FABENS STREET, STE B, FABENS, TX 79838
(915) 764-2739
(915) 764-7639
Mailing address
PO BOX 1233, FABENS, TX 79838-1233

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
16134
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144175
TX
01
4585622
NCPDP PROVIDER IDENTIFICATION NUMBER
05
TPI 068137101
TX
Enumeration date
12/01/2006
Last updated
03/07/2023
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