Organization
UHS RETAIL PHARMACY LLC
Active
Organization
UHS RETAIL PHARMACY LLC
Active
Other names
CentRx Pharmacy at Northwest Texas
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN PEMBER MS (CEO)
(610) 302-3300
Entity
Organization
Contact information
Practice address
1501 S COULTER ST STE A, AMARILLO, TX 79106-1770
(806) 553-2455
(806) 356-7425
Mailing address
1501 S COULTER ST STE A, AMARILLO, TX 79106-1770
(806) 553-2455
(806) 356-7425
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149558
—
TX
01
—
2166265
PK
—
Enumeration date
12/01/2016
Last updated
07/19/2018
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