Providerx of Waco LLC

NPI #1932413366 in Waco, Texas

Provider Information

NPI Number
1932413366
Entity Type
Organization
Organization Name
Providerx of Waco LLC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Jul 27, 2010
Last Updated
Dec 19, 2012

Practice Location

Address
1404 S NEW RD STE 200
City
Waco
State
Texas
ZIP Code
76711-1335
Phone
(254) 523-4596

Authorized Official

Name
TRACY WILSON
Title
VP OF OPERATIONS
Phone
(817) 310-5554

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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