Organization
EASTLAND DRUG COMPANY INCORPORATED
Active
Other names
EASTLAND DRUG CO INC
Organization subpart
No
Provider details
NPI number
Authorized official
DALE SQUIERS RPH (PHARMACIST AND OWNER)
(254) 629-1791
Entity
Organization
Contact information
Practice address
805 W MAIN ST, EASTLAND, TX 76448-2536
(254) 629-1791
(254) 629-3177
Mailing address
805 W MAIN ST, EASTLAND, TX 76448-2536
(254) 629-1791
(254) 629-3177
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095819
PK
—
05
—
4518859
—
TX
Enumeration date
09/21/2006
Last updated
07/08/2015
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