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Contact Information

WILSON PHARMACY GROUP, LLC
1224 MAIN STREET
MATADOR, TX79244
 Phone: 806-652-3353
 Fax: 806-652-2118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WILSON PHARMACY GROUP, LLC

NPI Number 1801472626
LBN Legal business name WILSON PHARMACY GROUP, LLC
Authorized official BRANCE WILSON - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2021
Last updated 08/27/2024 - More than a year ago
Identifiers
TX Medicaid 150426
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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