Pecos Street Pharmacy, Inc.
NPI #1659374379 in San Angelo, Texas
Provider Information
- NPI Number
- 1659374379
- Entity Type
- Organization
- Organization Name
- Pecos Street Pharmacy, Inc.
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- May 27, 2005
- Last Updated
- Jul 11, 2019
Practice Location
- Address
- 2102 PECOS ST
- Address 2
- STE 13
- City
- San Angelo
- State
- Texas
- ZIP Code
- 76901-3061
- Phone
- (325) 949-5381
Authorized Official
- Name
- BRYAN T ABERNATHY
- Title
- PRESIDENT
- Phone
- (325) 949-4636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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