Organization
DURAMED INC
Active
Other names
BOWENS HEALTH MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROYCE SAWYER (PIC)
(325) 388-4593
Entity
Organization
Contact information
Practice address
306 RR 2900, KINGSLAND, TX 78639-6063
(325) 388-4593
(325) 388-4594
Mailing address
PO BOX 632, KINGSLAND, TX 78639-0632
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
19126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144944
—
TX
01
—
4524749
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/04/2006
Last updated
07/07/2010
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