Organization
MACHIAS FRIENDLY PHARMACY
Active
Other names
Southpark Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCE OGBONNA (PRESIDENT/OWNER)
(806) 353-6530
Entity
Organization
Contact information
Practice address
3324 S GEORGIA ST, AMARILLO, TX 79109-3446
(806) 353-6530
(806) 353-6535
Mailing address
3324 S GEORGIA ST, AMARILLO, TX 79109-3446
(806) 353-6530
(806) 353-6535
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28599
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139385
PK
—
Enumeration date
03/12/2013
Last updated
10/26/2013
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