Your New Waverly Pharmacy LLC
NPI #1912250507 in New Waverly, Texas
Provider Information
- NPI Number
- 1912250507
- Entity Type
- Organization
- Organization Name
- Your New Waverly Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 19, 2012
- Last Updated
- Oct 19, 2020
Practice Location
- Address
- 9320C STATE HIGHWAY 75 S
- City
- New Waverly
- State
- Texas
- ZIP Code
- 77358-4224
- Phone
- (936) 344-2424
Authorized Official
- Name
- BILL WILT
- Title
- PHARMACIST IN CHARGE
- Phone
- (281) 804-3234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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