Bandera Drug, LLC

NPI #1922470483 in Bandera, Texas

Provider Information

NPI Number
1922470483
Entity Type
Organization
Organization Name
Bandera Drug, LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 23, 2015
Last Updated
Oct 23, 2015

Practice Location

Address
1100 MULBERRY STREET
State
Texas
ZIP Code
78003
Phone
(830) 796-3111

Authorized Official

Name
WAYNE ANTENEN, R.PH.
Title
MANAGER
Phone
(830) 796-3111

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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