Organization
BUCKMAN DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORRIS L FOSTER R.PH. (PHARMACIST-IN-CHARGE & SEC.)
(903) 632-5811
Entity
Organization
Contact information
Practice address
125 NORTH MAIN ST., BOGATA, TX 75417-0159
(903) 632-5811
(903) 632-5812
Mailing address
P. O. BOX 159, BOGATA, TX 75417-0159
(903) 632-5811
(903) 632-5812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00960
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00960
PHARMACY LICENSE NUMBER
TX
05
—
140636
—
TX
Enumeration date
01/17/2007
Last updated
08/22/2020
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