Organization
GOLDER PROFESSIONAL PHARMACY INC
Active
Other names
GOLDER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KARA MCKINZIE (VP AND OWNER)
(432) 337-7311
Entity
Organization
Contact information
Practice address
319 GOLDER AVE, ODESSA, TX 79761-5009
(432) 337-7311
(432) 335-8327
Mailing address
319 GOLDER AVE, ODESSA, TX 79761-5009
(432) 337-7311
(432) 335-8327
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
18946
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144966
—
TX
01
—
2103295
PK
—
Enumeration date
10/12/2006
Last updated
03/31/2016
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