Provider Demographics
NPI:1417201286
Name:SPECIALTY PHARMACY SERVICES, INC.
Entity Type:Organization
Organization Name:SPECIALTY PHARMACY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUCLEAR PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:D
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:254-791-1851
Mailing Address - Street 1:2006 S 1ST ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-7450
Mailing Address - Country:US
Mailing Address - Phone:254-791-1751
Mailing Address - Fax:
Practice Address - Street 1:2006 S 1ST ST
Practice Address - Street 2:SUITE C
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-7450
Practice Address - Country:US
Practice Address - Phone:254-791-1751
Practice Address - Fax:254-770-3183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX167221835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835N0905XPharmacy Service ProvidersPharmacistNuclearGroup - Single Specialty