Organization
BENT;LEY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED BENTLEY (OWNER)
(972) 563-3311
Entity
Organization
Contact information
Practice address
201 W MOORE AVE, TERRELL, TX 75160-3115
(972) 563-3311
(972) 563-5808
Mailing address
201 W MOORE AVE, TERRELL, TX 75160-3115
(972) 563-3311
(972) 563-5808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5059140001
TX
Other
Enumeration date
06/15/2005
Last updated
12/01/2009
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