Organization
CASTLE HILLS PHARMACY LLC
Active
Other names
Castle Hills Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WARD BS (OWNER)
(361) 575-6328
Entity
Organization
Contact information
Practice address
3412 SAM HOUSTON DR, VICTORIA, TX 77904-2238
(361) 575-6328
(361) 575-4488
Mailing address
3412 SAM HOUSTON DR, VICTORIA, TX 77904-2238
(361) 575-6328
(361) 575-4488
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106577
—
TX
01
—
2122660
PK
—
Enumeration date
01/29/2007
Last updated
08/04/2016
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