Organization
RETAIL INVESTORS OF TEXAS, LTD.
Active
Other names
MARKET BASKET PHARMACY #43
Organization subpart
No
Provider details
NPI number
Authorized official
SKYLAR THOMPSON (PRESIDENT)
(409) 749-6405
Entity
Organization
Contact information
Practice address
5960 HIGHWAY 105, BEAUMONT, TX 77708-3700
(409) 892-2282
(409) 924-8206
Mailing address
PO BOX 1717, NEDERLAND, TX 77627-1717
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
20890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143836
—
TX
01
—
4585709
OTHER ID NUMBER
—
Enumeration date
11/27/2006
Last updated
11/02/2015
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