Organization
TAHOKA DRUG INC
Active
Other names
TAHOKA DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BARNHART (CEO/AO)
(806) 998-4533
Entity
Organization
Contact information
Practice address
1610 N MAIN ST, TAHOKA, TX 79373-5125
(806) 561-4041
(806) 561-4725
Mailing address
PO BOX 1020, TAHOKA, TX 79373-1020
(806) 561-4041
(806) 561-4725
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143590
—
TX
01
—
2096191
PK
—
Enumeration date
07/07/2006
Last updated
06/23/2016
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