Organization
PILLERS SUPER DRUG INC
Active
Other names
Millers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE PATEL RPH (OWNER)
(903) 513-4895
Entity
Organization
Contact information
Practice address
102 E DALLAS AVE, COOPER, TX 75432-2043
(903) 395-2161
(903) 300-3701
Mailing address
102 E DALLAS AVE, COOPER, TX 75432-2043
(903) 395-2161
(903) 300-3701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146231
—
TX
01
—
2126153
PK
—
Enumeration date
08/03/2010
Last updated
08/12/2014
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