Organization
KINGS DAUGHTERS PHARMACY LLC
Active
Other names
King's Daughters Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY COLLINS RPH (PHARMACIST IN CHARGE)
(254) 778-1731
Entity
Organization
Contact information
Practice address
1905 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 778-1731
(254) 791-2266
Mailing address
1905 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 778-1731
(254) 791-2266
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
054020107
IL
3336C0003X
Community/Retail Pharmacy
127
TX
3336C0003X
Community/Retail Pharmacy
Primary
Y007118
AZ
3336C0004X
Compounding Pharmacy
PH30688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140335
—
TX
01
—
2096203
PK
—
Enumeration date
08/18/2006
Last updated
03/31/2017
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