Organization
PEDIATRIC SERVICES INC.
Active
Organization
PEDIATRIC SERVICES INC.
Active
Other names
Pediatric Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. CYNTHIA ANN RIEWE RPH (PIC / MANAGER)
(361) 855-3811
Entity
Organization
Contact information
Practice address
3435 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1728
(361) 855-3811
(361) 854-6077
Mailing address
3435 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1728
(361) 855-3811
(361) 854-6077
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
313
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140309
—
TX
01
—
4534574
NABP
TX
Enumeration date
08/12/2006
Last updated
08/22/2020
Update your record
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