Healthcare Provider Details

I. General information

NPI: 1144037110
Provider Name (Legal Business Name): WBORO PHARMACY LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 CHARLIE DR
WHITESBORO TX
76273-1103
US

IV. Provider business mailing address

PO BOX 2407
SHERMAN TX
75091-2407
US

V. Phone/Fax

Practice location:
  • Phone: 405-747-4477
  • Fax: 903-564-1238
Mailing address:
  • Phone: 903-893-0677
  • Fax: 903-957-0028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RHONDA HINDSLEY
Title or Position: SECRETARY
Credential:
Phone: 903-893-0677