Organization
PHARMATEX, LLC
Active
Other names
PharmaTex Specialty, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN SMITH (OWNER)
(228) 218-4633
Entity
Organization
Contact information
Practice address
4551-D GAUTIER VANCLEAVE ROAD, GAUTIER, MS 39553
(228) 218-4633
Mailing address
4551-D GAUTIER VANCLEAVE ROAD, GAUTIER, MS 39553
(228) 218-4633
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
F11511
MS
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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