VIDOR PHARMACY LLC
1130 N Main St
Vidor, TX 77662
409-769-2406
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 333600000X | Suppliers - Pharmacy | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | TX | 25444 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2096358 | OTHER | |
149213 | TX | MEDICAID |