Organization
LOCK,S DRUG STORE AT BASTROP,INC
Active
Other names
lock drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M MOHRMANN RPH (PRES)
(830) 672-2317
Entity
Organization
Contact information
Practice address
103 HIGHWAY 71 W, BASTROP, TX 78602-3726
(512) 321-2422
(512) 303-2180
Mailing address
103 HIGHWAY 71 W, BASTROP, TX 78602-3726
(512) 321-2422
(512) 303-2180
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
04340
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141477
—
TX
Enumeration date
02/19/2007
Last updated
01/11/2016
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