Organization
EPOCH PHARMACY SOLUTIONS SANTE FE MEDICINE MAN PHARMACY
Active
Organization
EPOCH PHARMACY SOLUTIONS SANTE FE MEDICINE MAN PHARMACY
Active
Other names
Medicine Man Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ROGERS (OWNER/MANAGER)
(361) 894-6430
Entity
Organization
Contact information
Practice address
13250 HIGHWAY 6, SANTA FE, TX 77510-7682
(409) 927-1979
(409) 925-7170
Mailing address
PO BOX 3670, VICTORIA, TX 77903-3670
(361) 894-6430
(361) 894-6431
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26474
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146015
—
TX
01
—
2120311
PK
—
Enumeration date
05/27/2009
Last updated
02/15/2016
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