Organization
THREE RIVERS PHARMACY, LLC
Active
Other names
Campbell Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
YANKTON WYATT PHARMD (VICE PRESIDENT)
(432) 523-4861
Entity
Organization
Contact information
Practice address
101 W. THORNTON, THREE RIVERS, TX 78071
(361) 786-3757
(361) 786-3279
Mailing address
813 HOSPITAL DR., ANDREWS, TX 79714
(432) 523-4861
(432) 524-4418
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149919
—
TX
Enumeration date
10/19/2006
Last updated
03/08/2024
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