Organization
MED SHOP PHARMACY INC
Active
Other names
THE MED-SHOP PHARMACY, The Med Shop Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK WAYNE POWERS RPH (PHARMACIST)
(903) 680-2600
Entity
Organization
Contact information
Practice address
825 US HIGHWAY 271 N, GILMER, TX 75644-5580
(903) 680-2600
(903) 680-2605
Mailing address
825 US HIGHWAY 271 N, GILMER, TX 75644-5580
(903) 680-2600
(903) 680-2605
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
23042
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148119
—
TX
01
—
2096845
PK
—
Enumeration date
06/20/2006
Last updated
10/29/2025
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