Organization
SLMT INC
Active
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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