Organization
PHARM HOUSE DRUG-LAVERNIA LLC
Active
Organization
PHARM HOUSE DRUG-LAVERNIA LLC
Active
Other names
Pharm House Drug - Lavernia, LLC, PHARM HOUSE DRUG - LA VERNIA, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MOSHE (OWNER/MEMBER)
(305) 203-9704
Entity
Organization
Contact information
Practice address
13857 US HIGHWAY 87 W, SUITE 100, LA VERNIA, TX 78121-5919
(830) 779-2219
(830) 253-8908
Mailing address
13857 US HWY 87 W STE 100, LA VERNIA, TX 78121
(830) 779-2219
(830) 253-8908
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31895
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176678
PK
—
Enumeration date
03/13/2018
Last updated
06/27/2023
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