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Organization

HEALTH AND HUMAN SERVICES COMMISSION

Active
Other names
TERRELL STATE HOSPITAL PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA GARNETT (PROGRAM SUPERVISOR)
(512) 913-1580
Entity
Organization

Contact information

Practice address
1200 E BRIN ST, TERRELL, TX 75160-2938
(972) 551-8238
(972) 551-8805
Mailing address
PO BOX 70, TERRELL, TX 75160-9000

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
6034
TX
3336M0003X
Managed Care Organization Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137919003
TX
01
2097616
PK
Enumeration date
08/07/2006
Last updated
11/17/2023
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