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NPI Code Detail

MEDICARE: A & P PHARMACY INC

MEDICARE: A & P PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy24001TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14534384OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063584555
Entity Type Code : Organization
Provider Name (Legal Business Name) : A & P PHARMACY INC
Provider Business Mailing Address
First Line : PO BOX 2088
Second Line :
City : ROANOKE
State : TX
Zip : 76262-4088
Country : US
Telephone Number : 817-222-1574
Fax Number : 817-491-1358
Provider Business Practice Location Address
First Line : 2919 MARKUM DR
Second Line :
City : HALTOM CITY
State : TX
Zip : 76117-4004
Country : US
Telephone Number : 817-222-1574
Fax Number : 817-491-1358
Authorized Official
Title or Position : OWNER
Name : SCOTT PALMER
Credential : RPH
Telephone Number : 817-491-9111
Provider Enumeration Date : 11/14/2006
Last Update Date : 01/14/2010

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Directions to “A & P PHARMACY INC ” Practice Location

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