Organization
CEDAR CREEK PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R WOODY RPH (PHARMACIST IN CHARGE)
(903) 432-2223
Entity
Organization
Contact information
Practice address
606 S SEVEN POINTS, SUITE 7, SEVEN POINTS, TX 75143
(903) 432-2223
(903) 432-2647
Mailing address
PO BOX 43023, SEVEN POINTS, TX 75143
(903) 432-2223
(903) 432-2647
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
22876
TX
183500000X
Pharmacist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466656
—
TX
Enumeration date
09/11/2006
Last updated
03/10/2008
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