Organization
S & L MEDICAL CENTER PHARMACY INC
Active
Other names
S&J Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAJA SALFITI (PRESIDENT)
(817) 532-6112
Entity
Organization
Contact information
Practice address
1101 W EAGLE DR, SUITE C, DECATUR, TX 76234-3721
(940) 627-5400
(940) 627-0257
Mailing address
1101 W EAGLE DR, SUITE C, DECATUR, TX 76234-3721
(940) 627-5400
(940) 627-0257
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28803
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146867
—
TX
01
—
2142989
PK
—
Enumeration date
11/16/2013
Last updated
12/06/2022
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