Organization
BASS RUTLEDGE DRUG DBA BENTLEY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED BENTLEY RPH (OWNER)
(972) 563-3327
Entity
Organization
Contact information
Practice address
201 W MOORE AVE, TERRELL, TX 75160-3115
(972) 563-3327
(972) 563-5808
Mailing address
201 W MOORE AVE, TERRELL, TX 75160-3115
(972) 563-3327
(972) 563-5808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0305
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0305
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
0305
TX
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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