Organization
MAULDIN PHARMACY INC
Active
Other names
Valu Rite Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES LEE MAULDIN RPH (OWNER)
(940) 683-2950
Entity
Organization
Contact information
Practice address
709 WOODROW WILSON RAY CIR, BRIDGEPORT, TX 76426-5023
(940) 683-2950
(940) 683-8059
Mailing address
709 WOODROW WILSON RAY CIR, BRIDGEPORT, TX 76426-5023
(940) 683-2950
(940) 683-8059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
21376
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148484
—
TX
01
—
20300
TX STORE LICENSE NO.
TX
Enumeration date
08/17/2006
Last updated
02/21/2025
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