Organization
GLENWOOD PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LUKAS (PHARMACIST)
(903) 792-8296
Entity
Organization
Contact information
Practice address
1400 COLLEGE DR, TEXARKANA, TX 75503-3534
(903) 792-8296
(903) 792-2261
Mailing address
1400 COLLEGE DR, TEXARKANA, TX 75503-3534
(903) 792-8296
(903) 792-2261
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
19507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144971
—
TX
01
—
4503199
NCPDP
—
Enumeration date
03/02/2007
Last updated
08/22/2020
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