Organization
MATTHEWSON DRUG CO INC
Active
Other names
Matthewson Drug
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BATES RPH (OWNER/PHARMACIST)
(903) 935-2351
Entity
Organization
Contact information
Practice address
717 S WASHINGTON AVE, MARSHALL, TX 75670-5337
(903) 935-2351
(903) 938-6742
Mailing address
717 S WASHINGTON AVE, MARSHALL, TX 75670-5337
(903) 935-2351
(903) 938-6742
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
12375
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017265201
—
TX
01
—
PH0275
TEXAS BC/BS PROV NUMB
TX
Enumeration date
09/26/2005
Last updated
02/05/2025
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