Organization
DAVIS CITY PHARMACY,INSTITUTIONAL,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES T COLEMAN (PHARMACIST-OWNER)
(817) 594-3851
Entity
Organization
Contact information
Practice address
113 AUSTIN AVE, WEATHERFORD, TX 76086
(817) 599-5590
(817) 596-8857
Mailing address
113 AUSTIN AVE, WEATHERFORD, TX 76086
(817) 599-5590
(817) 596-8857
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145064
—
TX
Enumeration date
11/18/2006
Last updated
06/17/2008
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