Organization
SCHROEDER DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARVEY ZATOPEK (OWNER AND PIC)
(979) 968-3116
Entity
Organization
Contact information
Practice address
123 N MAIN ST, LA GRANGE, TX 78945-2610
(979) 968-3116
(979) 968-3118
Mailing address
123 N MAIN ST, LA GRANGE, TX 78945-2610
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
03636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141094
—
TX
01
—
4524915
OTHER ID NUMBER
—
Enumeration date
03/08/2007
Last updated
01/16/2008
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