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Organization

PEACE PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CINDY K TROGLIN (BILLING MGR MEDICARE MEDICAID SPE)
(903) 567-4129
Entity
Organization

Contact information

Practice address
300 S BUFFALO, CANTON, TX 75103
(903) 567-4129
(903) 567-6772
Mailing address
300 S BUFFALO, PO BOX 38, CANTON, TX 75103
(903) 567-4129
(903) 567-6772

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
333600000X
Pharmacy
01827
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108407101
TX
05
108407102
TX
05
108407103
TX
05
108407104
TX
05
108407105
TX
Enumeration date
12/16/2005
Last updated
04/10/2012
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