Organization
KVM PHARMACY SOLUTIONS LLC
Active
Other names
GOLIAD PHARMACY AND GIFTS
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVASU VATTI (MEMBER)
(409) 767-6197
Entity
Organization
Contact information
Practice address
208 S COMMERCIAL ST, GOLIAD, TX 77963-4189
(361) 645-3261
(361) 645-3281
Mailing address
208 S COMMERCIAL ST, GOLIAD, TX 77963-1227
(361) 645-3261
(361) 645-3281
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143554
—
TX
01
—
2098306
PK
—
Enumeration date
11/27/2006
Last updated
07/08/2021
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