Organization
ECKLAND PHARMACY INC
Active
Organization
ECKLAND PHARMACY INC
Active
Other names
ECKLAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMENT NDUKA PHARM.D. (PIC / OWNER)
(915) 533-8194
Entity
Organization
Contact information
Practice address
125 W HAGUE RD, STE 100, EL PASO, TX 79902-5814
(915) 533-8194
(915) 532-4611
Mailing address
125 W HAGUE RD, STE 100, EL PASO, TX 79902-5814
(915) 533-8194
(915) 532-4611
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25462
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145285
—
TX
05
—
2190977-01
—
TX
01
—
4519089
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/07/2005
Last updated
10/19/2012
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