MEDICARE: JOHN POWELL JR. R.PH.

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
1	183500000X	Pharmacist	33431	TX

General Provider Information

NPI Number	:	1659214187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN POWELL JR. R.PH.

Provider Business Mailing Address
First Line	:	5 CHAPARRAL LN
Second Line	:
City	:	BRECKENRIDGE
State	:	TX
Zip	:	76424-5001
Country	:	US
Telephone Number	:	325-670-4545
Fax Number	:

Provider Business Practice Location Address
First Line	:	1265 AMBLER AVE
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79601-2371
Country	:	US
Telephone Number	:	325-670-4545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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