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
Authorized Official
- Name
- TRACY WILSON
- Title
- VP OF OPERATIONS
- Phone
- (817) 310-5554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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