Organization
SAINT GEORGE & SAINT MOSES LLC
Active
Organization
SAINT GEORGE & SAINT MOSES LLC
Active
Other names
The Drugstore
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSE GHALI RPH (OWNER/PHARMACIST)
(903) 708-7500
Entity
Organization
Contact information
Practice address
19 COUNTY ROAD 4114, SUITE 1, PITTSBURG, TX 75686
(903) 708-7500
(903) 708-7508
Mailing address
19 CR 4114 SUITE 1, SUITE 1, PITTSBURG, TX 75686
(903) 708-7500
(903) 708-7508
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29889
TSBP
TX
Enumeration date
03/27/2015
Last updated
06/05/2022
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