Community Pharmacy
NPI #1952415945 in San Angelo, Texas
Provider Information
- NPI Number
- 1952415945
- Entity Type
- Organization
- Organization Name
- Community Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 18, 2006
- Last Updated
- Feb 20, 2017
Practice Location
- Address
- 3520 KNICKERBOCKER RD STE A
- City
- San Angelo
- State
- Texas
- ZIP Code
- 76904-7601
- Phone
- (325) 949-4577
Authorized Official
- Name
- MARTY DANIEL, RPH
- Title
- OWNER/PARTNER
- Phone
- (325) 949-4577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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