Organization
LA BAUVE DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA K GRIGGS D. PH. (OWNER)
(361) 782-3313
Entity
Organization
Contact information
Practice address
119 E MAIN ST, EDNA, TX 77957-2826
(361) 782-3313
Mailing address
119 E MAIN ST, EDNA, TX 77957-2826
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20932
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145089
—
TX
Enumeration date
07/11/2005
Last updated
08/22/2020
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