Organization
HEREFORD PHARMACY, LLC
Active
Other names
Hereford Health Mart Pharmacy, Hereford Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA MARIE MOORE (OWNER)
(806) 995-3551
Entity
Organization
Contact information
Practice address
809 S 25 MILE AVE, HEREFORD, TX 79045-4801
(806) 364-3400
(806) 364-3405
Mailing address
809 S 25 MILE AVE, HEREFORD, TX 79045-4801
(806) 364-3400
(806) 364-3405
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
26063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145935
—
TX
01
—
2160115
PK
—
Enumeration date
05/13/2016
Last updated
05/21/2024
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