Organization
BORGER PHARMACY LLC
Active
Other names
Borger Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SPANGLER RPH (OWNER, PIC, AO)
(806) 274-9635
Entity
Organization
Contact information
Practice address
524 W 10TH ST, BORGER, TX 79007-2802
(806) 274-9635
(806) 274-9669
Mailing address
524 W 10TH ST, BORGER, TX 79007-2802
(806) 274-9635
(806) 274-9669
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31125
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149563
—
TX
01
—
2164475
PK
—
Enumeration date
09/14/2016
Last updated
10/12/2020
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