Organization
BELINDA KAYE MCGRAW
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA K MCGRAW RPH (OWNER)
(409) 384-3432
Entity
Organization
Contact information
Practice address
494 SPRINGHILL ST, JASPER, TX 75951-4922
(409) 384-3432
(409) 384-5843
Mailing address
494 SPRINGHILL ST, JASPER, TX 75951-4922
(409) 384-3432
(409) 384-5843
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
23025
TX
3336C0003X
Community/Retail Pharmacy
Primary
23025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169709601
—
TX
05
—
169709602
—
TX
01
—
4524333
NCPDP #
TX
Enumeration date
07/21/2006
Last updated
03/07/2023
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