Easttexrx LLC
NPI #1578866182 in Gladewater, Texas
Provider Information
- NPI Number
- 1578866182
- Entity Type
- Organization
- Organization Name
- Easttexrx LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 21, 2010
- Last Updated
- Dec 21, 2010
Practice Location
- Address
- 402B W UPSHUR
- City
- Gladewater
- State
- Texas
- ZIP Code
- 75647
- Phone
- (903) 845-2573
Authorized Official
- Name
- EDDIE GOODE
- Title
- V.P. EASTTEXRX, LLC
- Phone
- (903) 845-2573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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