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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