Organization
JAMES MCCOYS DRUG STORE SOUTH LLC
Active
Other names
JAMES MCCOYS DRUG STORE SOUTH
Organization subpart
No
Provider details
NPI number
Authorized official
TREY GUFFEY RPH PHARMD (PHARMACIST IN CHARGE)
(325) 676-8900
Entity
Organization
Contact information
Practice address
1725 ANTILLEY RD, ABILENE, TX 79606-5204
(325) 676-8900
(325) 676-8905
Mailing address
1725 ANTILLEY RD, ABILENE, TX 79606-5204
(325) 676-8900
(325) 676-8905
Taxonomy
Speciality
Code
Description
License number
State
332000000X
Military/U.S. Coast Guard Pharmacy
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
21975
TX
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2098944
PK
—
Enumeration date
07/22/2006
Last updated
09/16/2014
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