Organization
PRESCRIPTION SHOP INC
Active
Other names
PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FAST (PRES.)
(432) 837-3498
Entity
Organization
Contact information
Practice address
909 E HOLLAND AVE, ALPINE, TX 79830-5023
(432) 837-3498
(432) 837-9114
Mailing address
PO BOX 749, ALPINE, TX 79831-0749
(432) 837-3498
(432) 837-9114
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143880
—
TX
01
—
2093273
PK
—
Enumeration date
09/20/2006
Last updated
09/02/2016
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