Organization
JAMES LYNN WHITE
Active
Other names
Diamond Pharmacy No. 1
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY BOHANNON RPH (PHARMACIST IN CHARGE)
(940) 325-2541
Entity
Organization
Contact information
Practice address
100 SE 17TH AVE, MINERAL WELLS, TX 76067-5607
(940) 325-2541
Mailing address
PO BOX 1313, MINERAL WELLS, TX 76068-1313
(940) 325-2541
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12245
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143071
—
TX
Enumeration date
01/14/2007
Last updated
08/12/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us