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Providerx Of Waco Llc
Long Term Care Pharmacy in Waco, Texas
NPI 1932413366

Providerx Of Waco Llc is a Long Term Care Pharmacy based in Forney, TX and is specialized in Long Term Care Pharmacy. Providerx Of Waco Llc practices in Waco, TX. The NPI Number for Providerx Of Waco Llc is 1932413366 and holds a License No. (Texas).

The current practice location address for Providerx Of Waco Llc is 1404 S New Rd Ste 200, Waco, TX and can be reached out via phone at 254-523-4596 and via fax at 866-426-2198. You can also correspond with Providerx Of Waco Llc through the mailing address at PO BOX 2176, FORNEY, TX - 75126-2176 (mailing address contact number: 817-310-5554).

Location: 1404 S New Rd Ste 200, Waco, TX, 75126-2176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932413366
Provider Name
Providerx Of Waco Llc
Credential
Provider Entity Type
Organization
Address
1404 S New Rd Ste 200, Waco, TX, 75126-2176
Phone Number
254-523-4596
Fax Number
866-426-2198
Provider Enumeration Date
07/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5900572 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1404 S New Rd Ste 200
City
Waco
State
Texas
Zip
76711-1335
Phone Number
254-523-4596
Fax Number
866-426-2198
person
Provider Business Mailing Address Details
Address
Po Box 2176
City
Forney
State
Texas
Zip
75126-2176
Phone Number
817-310-5554
Fax Number
817-756-1101
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
26988 (Texas)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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