Organization
BLDL INDUSTRIES
Active
Other names
Laura's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BETH TEMPLE RPH (OFFICER)
(817) 406-4546
Entity
Organization
Contact information
Practice address
232 W MAIN ST, AZLE, TX 76020-3120
(817) 406-4546
(817) 406-4550
Mailing address
232 W MAIN ST, AZLE, TX 76020-3120
(817) 406-4546
(817) 406-4550
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28617
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139338
PK
—
Enumeration date
06/25/2013
Last updated
05/29/2024
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