City Drug Jefferson Texas INC

NPI #1386699130 in Jefferson, Texas

Provider Information

NPI Number
1386699130
Entity Type
Organization
Organization Name
City Drug Jefferson Texas INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 23, 2006
Last Updated
Oct 8, 2019

Practice Location

Address
109 W LAFAYETTE ST
State
Texas
ZIP Code
75657-2205
Phone
(903) 665-2521

Authorized Official

Name
BRIAN ALLEN BATES, RPH
Title
PRESIDENT
Phone
(903) 665-2521

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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