Organization
CENTEX PHARMACIES INCORPORATED
Active
Other names
Gus's Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRADLEY (DIRECTOR)
(512) 863-2506
Entity
Organization
Contact information
Practice address
702 E UNIVERSITY AVE, GEORGETOWN, TX 78626-7036
(512) 863-2506
(512) 863-2508
Mailing address
702 E UNIVERSITY AVE, GEORGETOWN, TX 78626-7036
(512) 863-2506
(512) 863-2508
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
03273
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127998
PK
—
Enumeration date
08/31/2006
Last updated
02/05/2025
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