Organization
PRO MED PHARMACIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD R CHRYSLER JR. (PRESIDENT CEO)
(806) 379-7126
Entity
Organization
Contact information
Practice address
701 N TAYLOR, AMARILLO, TX 79107-5279
(806) 376-8245
(806) 379-7514
Mailing address
3615 SW 45TH AVE, AMARILLO, TX 79109-5662
(806) 379-7126
(806) 372-3984
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0083114
TX
333600000X
Pharmacy
Primary
13048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108484001
—
TX
01
—
13048
TEXAS PHARMACY LICENSE
TX
01
—
4578235
NCPDP
TX
05
—
5403049900
—
KY
01
—
83114
MEDICAL DEVICE DISTRIBUTI
TX
05
—
9000358300
—
KY
01
—
NRP57
NON RESIDENT
CA
01
—
W0070866
CONTROLLED SUBSTANCE
TX
Enumeration date
02/09/2006
Last updated
03/07/2023
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