Medicine Chest 114 LLC

NPI #1497749915 in Tyler, Texas

Provider Information

NPI Number
1497749915
Entity Type
Organization
Organization Name
Medicine Chest 114 LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 12, 2005
Last Updated
Jul 2, 2015

Practice Location

Address
807 S BECKHAM AVE
Address 2
SUITE 100
City
Tyler
State
Texas
ZIP Code
75701-1905
Phone
(903) 592-8283

Authorized Official

Name
CHAD MICHEL
Title
CEO
Phone
(903) 885-0821

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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