Organization
REDIGERS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T REDIGER (RPH)
(432) 445-4916
Entity
Organization
Contact information
Practice address
724 S EDDY ST, PECOS, TX 79772-3727
(432) 445-4916
Mailing address
724 S EDDY ST, BOX 1760, PECOS, TX 79772-3727
(432) 445-4916
(432) 445-6085
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
12062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011056101
—
TX
05
—
143040
—
TX
05
—
145386201
—
TX
Enumeration date
02/22/2007
Last updated
05/13/2010
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