Organization
HYLANDS PHARMACY LLC
Active
Organization
HYLANDS PHARMACY LLC
Active
Other names
Hyland's Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MCENTIRE (PIC/OWNER)
(806) 826-5561
Entity
Organization
Contact information
Practice address
108 W OKLAHOMA AVE, WHEELER, TX 79096
(806) 826-5561
(806) 826-5655
Mailing address
PO BOX 230, WHEELER, TX 79096-0230
(806) 826-5561
(806) 826-5655
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26300
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145985
—
TX
01
—
2118797
PK
—
Enumeration date
12/03/2007
Last updated
10/21/2024
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