Organization
P & S REXALL PHARMACY INC
Active
Other names
P & S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TRENA WEIDMANN (OWNER)
(903) 874-5691
Entity
Organization
Contact information
Practice address
829 N MAIN ST, CORSICANA, TX 75110-3048
(903) 874-5691
(903) 872-1925
Mailing address
PO BOX 957, CORSICANA, TX 75151-0957
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10046
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142376
—
TX
01
—
2102884
PK
—
Enumeration date
09/14/2006
Last updated
05/18/2023
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