Organization
SSA HOLDINGS LLC
Active
Other names
Amarillo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAMAKRISHNA SAMALA (MANAGER, AO)
(806) 676-8886
Entity
Organization
Contact information
Practice address
6010 S WESTERN ST STE 100, AMARILLO, TX 79110-3612
(806) 803-9401
(806) 803-9412
Mailing address
6010 S WESTERN ST, SUITE 100, AMARILLO, TX 79110-3612
(806) 803-9401
(806) 803-9412
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30281
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148679
—
TX
01
—
2154864
PK
—
Enumeration date
10/28/2015
Last updated
03/06/2017
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