Organization
STRATFORD HOSPITAL DISTRICT
Active
Organization
STRATFORD HOSPITAL DISTRICT
Active
Other names
Elk Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY WORLEY PHARMD (PIC/MANAGER)
(806) 366-5505
Entity
Organization
Contact information
Practice address
317 N. MAIN ST., STRATFORD, TX 79084
(806) 366-5505
(806) 396-2277
Mailing address
317 N. MAIN ST., P.O. BOX 166, STRATFORD, TX 79084
(806) 366-5505
(806) 396-2277
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26133
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142008
—
TX
01
—
2096171
PK
—
05
—
250482
—
TX
Enumeration date
10/23/2006
Last updated
02/21/2017
Update your record
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