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NPI Code Detail

MEDICARE: MAXOR NATIONAL PHARMACY SERVICES LLC

MEDICARE: MAXOR NATIONAL PHARMACY SERVICES LLC
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
13336C0003XCommunity/Retail Pharmacy45426CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356547913
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAXOR NATIONAL PHARMACY SERVICES LLC
Provider Business Mailing Address
First Line : 416 S TYLER ST
Second Line :
City : AMARILLO
State : TX
Zip : 79101-2346
Country : US
Telephone Number : 806-242-7782
Fax Number : 925-551-6609
Provider Business Practice Location Address
First Line : 5325 BRODER BLVD
Second Line :
City : DUBLIN
State : CA
Zip : 94568-3309
Country : US
Telephone Number : 925-551-6748
Fax Number : 925-551-6609
Authorized Official
Title or Position : PRESIDENT, PHARMACY SERVICES
Name : JOEL WRIGHT
Credential :
Telephone Number : 806-242-7782
Provider Enumeration Date : 06/21/2007
Last Update Date : 02/08/2026

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Directions to “MAXOR NATIONAL PHARMACY SERVICES LLC ” Practice Location

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