Organization
GUIDED PATH LLP
Active
Other names
AUTREY PHARMACY #2
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT AUTREY RPH (OWNER/RPH)
(956) 548-0801
Entity
Organization
Contact information
Practice address
1365 E RUBEN TORRES BLVD, BROWNSVILLE, TX 78521-0964
(956) 542-5100
(956) 542-5103
Mailing address
1365 E RUBEN TORRES BLVD, BROWNSVILLE, TX 78521-0964
(956) 542-5100
(956) 542-5103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26981
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1466185
—
TX
01
—
5900370
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/30/2010
Last updated
12/17/2010
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