Organization
BURLESON APOTHECARY SHOP INC
Active
Other names
RONS APOTHECARY SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
MATT GIESER (RPH)
(817) 295-2273
Entity
Organization
Contact information
Practice address
117 W RENFRO ST, BURLESON, TX 76028-4233
(817) 295-2273
(817) 295-8827
Mailing address
117 W RENFRO ST, BURLESON, TX 76028-4233
(817) 295-2273
(817) 295-8827
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148413
—
TX
01
—
2093833
PK
—
Enumeration date
08/31/2006
Last updated
02/20/2017
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