Dekalb Pharmacy LLC

NPI #1427052000 in De Kalb, Texas

Provider Information

NPI Number: 1427052000
Entity Type: Organization
Organization Name: Dekalb Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Jun 10, 2005
Last Updated: Aug 30, 2017

Practice Location

Address: 120 W FRONT ST
City: De Kalb
State: Texas
ZIP Code: 75559-1308
Phone: (903) 667-0880

Authorized Official

Name: MR. JANET J. TIDWELL, R.PH.
Title: CO-OWNER
Phone: (903) 667-0880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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