Organization
HERVEY & BETHARD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL DIANE GILLIAM RPH (PRESIDENT)
(903) 758-8286
Entity
Organization
Contact information
Practice address
1900 S HIGH ST, LONGVIEW, TX 75602-3299
(903) 758-8286
Mailing address
1900 S HIGH ST, LONGVIEW, TX 75602-3299
(903) 758-8286
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091645401
—
TX
Enumeration date
10/05/2022
Last updated
10/21/2022
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