TIM WASSON INCORPORATED
612 E Main St
Henderson, TX 75652
903-657-1593
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | TX | 21419 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
143452 | TX | MEDICAID | |
DEA # | BT1854416 | TX | OTHER |
NCPDP # | 4567737 | TX | OTHER |