Organization
B2TF LTC PHARMACY LLC
Active
Other names
B2TF PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD A PAVIA RPH (VP/PHARMACIST)
(903) 756-8741
Entity
Organization
Contact information
Practice address
403 NORTH KAUFMAN STREET, LINDEN, TX 75563-5234
(903) 756-8741
(903) 756-8741
Mailing address
403 NORTH KAUFMAN STREET, LINDEN, TX 75563
(903) 756-8741
(903) 756-8741
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
20647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350160
—
TX
Enumeration date
08/11/2006
Last updated
08/22/2020
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