Organization
CLEBURNE DRUG INC
Active
Other names
Cleburne Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MONTE BARRON (PHARMACIST / OWNER)
(817) 645-2415
Entity
Organization
Contact information
Practice address
310 N RIDGEWAY DR, CLEBURNE, TX 76033-5102
(817) 645-2415
(817) 645-7176
Mailing address
310 N RIDGEWAY DR, CLEBURNE, TX 76033-5102
(817) 645-2415
(817) 645-7176
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2194
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016471701
—
TX
05
—
111361501
—
TX
01
—
4515827
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/26/2005
Last updated
08/28/2025
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