Organization
VELASQUEZ GROUP LP
Active
Organization
VELASQUEZ GROUP LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM WAKEFIELD (PHARMACIST)
(806) 256-3111
Entity
Organization
Contact information
Practice address
1814 N BILL MACK, SHAMROCK, TX 79079
(806) 256-3111
(806) 256-3551
Mailing address
PO BOX 767, WHEELER, TX 79096
(806) 826-5555
(806) 826-5560
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146940
PK
—
Enumeration date
04/19/2007
Last updated
04/20/2018
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