Provider Information for 1730421975
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
PILLS LLC
Other Names:Doing Business As:GRAND PHARMACYOrganization Subpart: NO
NPI: 1730421975
Last Updated: 2016-08-26
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1730421975 | ||||||||||||||||||||
Enumeration Date | 2013-03-26 | ||||||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||||||
Status | Active | ||||||||||||||||||||
Authorized Official Information | Name: MARK VOGLER RPh Title: Member Phone: 8066543530 | ||||||||||||||||||||
Mailing Address | PO BOX 10003 AMARILLO, TX 79116-0003 United States Phone: 806-654-3530 | Fax: | ||||||||||||||||||||
Primary Practice Address | 3500 NE 24TH AVE AMARILLO, TX 79107-6920 United States Phone: 806-654-3530 | Fax: | ||||||||||||||||||||
Secondary Practice Address(es) | |||||||||||||||||||||
Health Information Exchange |
| ||||||||||||||||||||
Other Identifiers |
| ||||||||||||||||||||
Taxonomy |
|