Organization
KINGS DAUGHTERS PHARMACY LLC
Active
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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