KERRVILLE DRUG CO., INC
1050 Junction Hwy
Kerrville, TX 78028
830-895-2273
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
Y | 3336C0003X | Suppliers - Pharmacy | TX | 04925 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP NUMBER | 4524624 | OTHER | |
DEA LICENSE # | AK9229445 | TX | OTHER |
148790 | TX | MEDICAID |