Provider Demographics
NPI:1437243623
Name:REMEDIES PHARMACY INC
Entity Type:Organization
Organization Name:REMEDIES PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONES
Authorized Official - Middle Name:
Authorized Official - Last Name:WITCHER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:806-242-9400
Mailing Address - Street 1:25 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-4169
Mailing Address - Country:US
Mailing Address - Phone:806-242-9400
Mailing Address - Fax:806-242-9403
Practice Address - Street 1:25 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4169
Practice Address - Country:US
Practice Address - Phone:806-242-9400
Practice Address - Fax:806-242-9403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX163713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX16371OtherSTATE PHARMACY LICENSE
4593744OtherNABP
TX144202-9Medicaid
TX16371OtherSTATE PHARMACY LICENSE