Archie Pharmacy LLC

NPI #1275912453 in Vidor, Texas

Provider Information

NPI Number: 1275912453
Entity Type: Organization
Organization Name: Archie Pharmacy LLC
Primary Specialty: Pharmacy - Community/Retail Pharmacy
Enumeration Date: May 21, 2015
Last Updated: Sep 9, 2021

Practice Location

Address: 305 S ARCHIE ST
City: Vidor
State: Texas
ZIP Code: 77662-4840
Phone: (409) 242-3124

Authorized Official

Name: TREY HANEY
Title: OPERATIONS MANAGER
Phone: (409) 769-2406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X
Pharmacy - Specialty Pharmacy — Specialty Pharmacy	3336S0011X
Pharmacy	333600000X
Pharmacy - Compounding Pharmacy — Compounding Pharmacy	3336C0004X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X	Primary

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