Organization
RETAIL INVESTORS OF TEXAS, LTD.
Active
Other names
MARKET BASKET PHARMACY#17
Organization subpart
No
Provider details
NPI number
Authorized official
SKYLAR THOMPSON (PRESIDENT)
(409) 749-6405
Entity
Organization
Contact information
Practice address
864 MAGNOLIA AVE, PORT NECHES, TX 77651-3712
(409) 722-0411
(409) 727-8986
Mailing address
PO BOX 1717, NEDERLAND, TX 77627-1717
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
20888
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143566
—
TX
01
—
4579592
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/27/2006
Last updated
11/02/2015
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