Provider Information for 1699311696
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D & E PHARMACEUTICAL SERVICES
Other Names:Doing Business As:EAGLE PHARMACYOrganization Subpart: NO
NPI: 1699311696
Last Updated: 2023-11-03
Certification Date: 2023-11-02
Certification Date: 2023-11-02
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1699311696 | ||||||||
| Enumeration Date | 2019-11-25 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: DUSTIN HAYS RPh Title: President Phone: 9405834376 | ||||||||
| Mailing Address | 700 S COLLEGE AVE BOX 684 HOLLIDAY, TX 76366-3848 United States Phone: 940-583-4376 | Fax:940-583-4380 | ||||||||
| Primary Practice Address | 700 S. COLLEGE HOLLIDAY, TX 76366 United States Phone: 940-583-4376 | Fax:940-583-4380 | ||||||||
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