Organization
ALLEGIANCE SPECIALTY HOSPITAL OF PERMIAN BASIN
Active
Organization
ALLEGIANCE SPECIALTY HOSPITAL OF PERMIAN BASIN
Active
Other names
Rural Pharmacy Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LUKER (CEO)
(832) 607-8511
Entity
Organization
Contact information
Practice address
207 TRADEWINDS BLVD, MIDLAND, TX 79706-2807
(832) 607-8511
Mailing address
PO BOX 478, BLANCO, TX 78606-0478
(830) 833-4499
(830) 833-4493
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27293
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5904481
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/28/2011
Last updated
11/28/2011
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