Provider / Organization | NPI | Date Certified |
---|---|---|
CHILDRESS OUTPOST PHARMACY INC | 1811332257 | 2024-07-30 |
The organization Childress Outpost Pharmacy Inc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1811332257. Registration indicates Childress Outpost Pharmacy Inc is a provider of access to pharmacies services with a specialization in Suppliers, Pharmacy (Suppliers, Pharmacy) (Pharmacy: Community/Retail Pharmacy, ) (Pharmacy/DME, ) (Pharmacy Community/Retail Pharmacy, Suppliers) (Pharmacy, )
Code | Practice | License No State |
---|---|---|
3336C0003X PRIMARY | Access to Pharmacies Suppliers Pharmacy Suppliers Pharmacy Pharmacy: Community/Retail Pharmacy Pharmacy/DME Pharmacy Community/Retail Pharmacy Suppliers Pharmacy | 28509
|
148317 | MEDICAID | TX | |
28509 | OTHER | TX | TEXAS STATE BOA |