Organization Name: | MED SHOP PHARMACY INC |
NPI Number: | 1659316792 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETE POWERS (PIC CO-OWNER) |
Mailing Address: | 825 Us Highway 271 N Gilmer |
State: | TX US |
Postal Code: | 756445580 |
Phone Number: | 9036802600 |
Fax Number: | 9036802605 |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 03/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |