Organization
BURLESON APOTHECARY SHOP INC
Active
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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