Organization
KVM PHARMACY SOLUTIONS LLC
Active
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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