Organization
PSM MSM 102 LLC
Active
Other names
Cattles Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAJDEEP PARMAR PHARMD (MANAGIN MEMBER)
(551) 580-8459
Entity
Organization
Contact information
Practice address
202 N KEY AVE, LAMPASAS, TX 76550-1843
(512) 556-5141
(512) 556-5641
Mailing address
202 N KEY AVE, LAMPASAS, TX 76550-1843
(551) 580-8459
(512) 556-5641
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140624
—
TX
01
—
2092488
PK
—
Enumeration date
08/18/2006
Last updated
11/30/2023
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