| |
1340 N Highway 377 Ste 100 Pilot Point TX 76258 | |
(940) 686-0123 | |
(940) 686-0170 |
Full Name | |
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Speciality | Pharmacy |
Location | 1340 N Highway 377, Pilot Point, Texas |
Authorized Official Name and Position | Rhonda Hindsley (SECRETARY) |
Authorized Official Contact | 9038930677 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 2407 Sherman TX 75091-2407 Ph: (903) 893-0677 | 1340 N Highway 377 Ste 100 Pilot Point TX 76258 Ph: (940) 686-0123 |
NPI Number | 1801955273 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 07/24/2024 |
Medicare PECOS PAC ID | 7012110646 |
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Medicare Enrollment ID | O20140307000239 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801955273 | NPI | - | NPPES |
2099887 | Other | PK | |
148954 | Medicaid | TX |
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